Tracey Campbell, NP
Nurse Practitioner, Family in South Burlington, VT. Individual provider (NPI-1).
NPI number1124315445
StatusActive
Last updated in NPPESJun 27, 2014
Details
- NPI
- 1124315445
- Entity type
- Individual (NPI-1)
- Name
- Tracey Campbell
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2011
- Last updated
- Jun 27, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 101.0078560 | VT | Yes |
Practice location
3 Timber LnSouth Burlington, VT 05403-7205
Phone 802-847-8500
Mailing address
111 Colchester AveBurlington, VT 05401-1473
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