Provider Demographics
NPI:1750543773
Name:DAVID J CAMPOPIANO, ARNP
Entity type:Organization
Organization Name:DAVID J CAMPOPIANO, ARNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PCP PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPOPIANO
Authorized Official - Suffix:JR
Authorized Official - Credentials:ARNP
Authorized Official - Phone:603-863-7000
Mailing Address - Street 1:PO BOX 2684
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-2684
Mailing Address - Country:US
Mailing Address - Phone:603-863-7000
Mailing Address - Fax:603-863-7550
Practice Address - Street 1:30 ROUTE 103
Practice Address - Street 2:
Practice Address - City:SUNAPEE
Practice Address - State:NH
Practice Address - Zip Code:03782-3512
Practice Address - Country:US
Practice Address - Phone:603-863-7000
Practice Address - Fax:603-863-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH051693-23363LP2300X, 363LP0808X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1477557916OtherINDIVIDUAL TYPE 1 NPI
NH23YP05399NH01OtherANTHEM
NHUX2755Medicare PIN
NHP86114Medicare UPIN
NHNP4129Medicare PIN
NH23YP05399NH01OtherANTHEM