Provider Demographics
NPI:1285911081
Name:CAMPBELL, BARBARA ELAINE (RN)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ELAINE
Last Name:CAMPBELL
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 1:15 HENNING RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-3749
Mailing Address - Country:US
Mailing Address - Phone:518-581-3640
Mailing Address - Fax:518-581-3688
Practice Address - Street 1:15 HENNING RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-3749
Practice Address - Country:US
Practice Address - Phone:518-581-3640
Practice Address - Fax:518-581-3688
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3694961163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool