Campbell, Christi A
Campbell, Christi A is an individual health care provider with primary practice located at 11110 Tom Adams Dr , Austin TX 78753-3354. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Campbell, Christi A can be contacted via phone (512) 250-9140.Contact Information
Primary practice address
11110 Tom Adams Dr
Austin TX 78753-3354
Phone: (512) 250-9140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 521075 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 521075 | Texas |
Profile Details
| NPI number | 1073514667 |
|---|---|
| LBN Legal business name | Campbell, Christi A |
| Credentials | FNP,PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | May 27th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073514667 | NPPES |
| Texas | MEDICAID | 177450702 | |
| Texas | Other | 8Y5079 |
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