Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0024168053 | VA |
NPI | 1023261195 |
---|---|
Provider Name | Mrs. Hedy K Campos |
First Address | Fredericksburg, VA 22408-5515 |
Second Address | Fredericksburg, VA 22407-9435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2008 |
Last Update Date | 26/09/2019 |