Most Relevant Information
Provider Data
| NPI Number: | 1003642190 |
| Provider Name: | MADISON CHRISTINE CAMPBELL MSN, APRN, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 6461577 |
Most Important Dates
| Enumeration Date: | 09/13/2024 |
| Last Updated: | 10/10/2024 |
Provider Practice Location
815 N COLLEGE RD
TWIN FALLS
ID
833013484
Practice Location Phone/Fax
| Phone: | 2088149100 |
| Fax: | 2088149903 |
Provider Mailing Location
190 E BANNOCK ST
BOISE
ID
837126241
Provider Mailing Phone/Fax
| Phone: | 2083818752 |
| Fax: |