Provider Demographics
NPI:1780271890
Name:CAMPBELL, CLAIRE BRIDGET
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:BRIDGET
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10341 ANNABERG CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2850
Mailing Address - Country:US
Mailing Address - Phone:571-232-8921
Mailing Address - Fax:
Practice Address - Street 1:10341 ANNABERG CT
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-2850
Practice Address - Country:US
Practice Address - Phone:571-232-8921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program