Provider Demographics
NPI:1205960028
Name:CAMP, ELIZABETH A (ND)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:CAMP
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 LINDENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-7410
Mailing Address - Country:US
Mailing Address - Phone:603-391-9820
Mailing Address - Fax:866-953-1710
Practice Address - Street 1:441 MAIN ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-4181
Practice Address - Country:US
Practice Address - Phone:603-391-9820
Practice Address - Fax:866-953-1710
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH56175F00000X
FL15005133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH56OtherLICENSE NUMBER