John Campbell, RN
Registered Nurse in Boise, ID. Individual provider (NPI-1).
NPI number1760139232
StatusActive
Last updated in NPPESMar 4, 2022
Details
- NPI
- 1760139232
- Entity type
- Individual (NPI-1)
- Name
- John Campbell
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2022
- Certification date
- Mar 4, 2022
- Last updated
- Mar 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 64381 | ID | Yes |
Practice location
500 W Fort StBoise, ID 83702-4501
Phone 208-422-1000
Mailing address
500 W Fort StBoise, ID 83702-4501
Phone 208-422-1000
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