Campisi, Pamela Rudolph

Campisi, Pamela Rudolph is an sole proprietor health care provider with primary practice located at 1553 Us Highway 1 , Vero Beach FL 32960-5735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Campisi, Pamela Rudolph can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
1553 Us Highway 1 Vero Beach FL 32960-5735
Phone: (772) 257-8224
Fax: (772) 213-3157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9269189 Florida

Profile Details

NPI number 1396003760
LBN Legal business name Campisi, Pamela Rudolph
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2012
Last updated Oct 5th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396003760 NPPES
Florida MEDICAID 005801300

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