CASSIDY DOUCETTE CAMPANELLA DNP FNP-C NPI 1811407794

NPI Information

NPI: 1811407794
Provider Name: CASSIDY DOUCETTE CAMPANELLA, DNP, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 585-0100
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Cassidy Doucette Campanella, DNP, FNP-C is a family nurse practitioner in Salt Lake City, UT with 7 years of experience. Cassidy Doucette Campanella, DNP, FNP-C NPI is 1811407794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT
ZIP 84112-500
Phone: (801) 585-0100
Fax: (801) 581-7575

The NPI 1811407794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2017 and was last updated on 12/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	7647138-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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