NPI 1124315445 · live from the CMS NPI Registry
Tracey Campbell, NP
Nurse Practitioner, Family in South Burlington, VT. National Provider Identifier 1124315445, active.
NPI record
| NPI | 1124315445 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 3 Timber Ln, South Burlington, VT 05403 |
| Practice phone | 802-847-8500 |
| Mailing address | 111 Colchester Ave, Burlington, VT 05401 |
| Enumerated | July 7, 2011 |
| Last updated | June 27, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 101.0078560 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.