Nicole Lee Campbell, LPN

Individual provider Active NPI Licensed Practical Nurse · Stamford, NY

NPI 1396401337 · NPPES record last updated Nov 15, 2021

Key facts

NPI
1396401337
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
323349 (NY)
Practice address
1 Buntline Dr
Stamford, NY 12167-1203
Phone
(607) 658-2960
Fax
(607) 652-7901
NPI assigned
Nov 15, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X 323349 NY Yes

Addresses

Primary practice location

1 Buntline Dr
Stamford, NY 12167-1203

Mailing address

1 Buntline Dr
Stamford, NY 12167-1203
Phone (607) 652-2960

Other providers in Stamford, NY

All providers in Stamford, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.