Provider Demographics
NPI:1306574009
Name:CAMPFIELD, ANDREW RUSSELL (DNP, ARNP, FNP-C)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:RUSSELL
Last Name:CAMPFIELD
Suffix:
Gender:M
Credentials:DNP, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 CUSTER ST
Mailing Address - Street 2:
Mailing Address - City:NESS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67560-1654
Mailing Address - Country:US
Mailing Address - Phone:785-798-2291
Mailing Address - Fax:785-798-3596
Practice Address - Street 1:316 CUSTER ST
Practice Address - Street 2:
Practice Address - City:NESS CITY
Practice Address - State:KS
Practice Address - Zip Code:67560-1654
Practice Address - Country:US
Practice Address - Phone:785-798-2233
Practice Address - Fax:785-798-3302
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-83285-081363LF0000X
KS13-89776-081163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30005152700001Medicaid