Provider Demographics
NPI:1811328115
Name:CAMPBELL, MARGIE (MSN, CNS-BC)
Entity type:Individual
Prefix:MRS
First Name:MARGIE
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MSN, CNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8971
Mailing Address - Country:US
Mailing Address - Phone:614-898-4649
Mailing Address - Fax:614-865-6875
Practice Address - Street 1:500 S CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8971
Practice Address - Country:US
Practice Address - Phone:614-898-4649
Practice Address - Fax:614-865-6875
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-185939-COA364S00000X
OHCOA13194-NS364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist