Provider Demographics
NPI:1932833548
Name:CAMPOS, SWILMA P (RN)
Entity Type:Individual
Prefix:
First Name:SWILMA
Middle Name:P
Last Name:CAMPOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 W WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:NOGALES
Mailing Address - State:AZ
Mailing Address - Zip Code:85621-1846
Mailing Address - Country:US
Mailing Address - Phone:520-287-0800
Mailing Address - Fax:
Practice Address - Street 1:1905 N APACHE BLVD
Practice Address - Street 2:
Practice Address - City:NOGALES
Practice Address - State:AZ
Practice Address - Zip Code:85621-4149
Practice Address - Country:US
Practice Address - Phone:520-377-2021
Practice Address - Fax:520-387-0819
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ266835163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ266835OtherNURSE LICENSE NUMBER