Provider Demographics
NPI:1326929761
Name:CAMPBELL, ALYSON (RN, PHN)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2247 ROAN LN
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-6522
Mailing Address - Country:US
Mailing Address - Phone:925-967-8545
Mailing Address - Fax:
Practice Address - Street 1:699 OLD ORCHARD DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4331
Practice Address - Country:US
Practice Address - Phone:925-552-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA763502163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool