Provider Demographics
NPI:1184390635
Name:CAMPBELL, ARIANA LYNN (CPM, LM)
Entity type:Individual
Prefix:MRS
First Name:ARIANA
Middle Name:LYNN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:MISS
Other - First Name:ARIANA
Other - Middle Name:LYNN
Other - Last Name:ST. PIERRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7406 WOODMAN RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7406 WOODMAN RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-4315
Practice Address - Country:US
Practice Address - Phone:804-404-6221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129-000167176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife