Provider Demographics
NPI:1710613930
Name:SCHOOLCRAFT CAMPOS, KRISTEN MARIE (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARIE
Last Name:SCHOOLCRAFT CAMPOS
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1737 GEORGETOWN RD STE H
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-5013
Mailing Address - Country:US
Mailing Address - Phone:808-391-3009
Mailing Address - Fax:330-426-0005
Practice Address - Street 1:1737 GEORGETOWN RD STE H
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-5013
Practice Address - Country:US
Practice Address - Phone:330-355-9729
Practice Address - Fax:330-426-0005
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.003151363LP0808X, 363LP0808X
HIAPRN-3975-0363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0148318Medicaid