Provider Demographics
NPI:1710613930
Name:SCHOOLCRAFT CAMPOS, KRISTEN MARIE (RN)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARIE
Last Name:SCHOOLCRAFT CAMPOS
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:4075 BRAMSHAW RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2311
Mailing Address - Country:US
Mailing Address - Phone:808-391-3009
Mailing Address - Fax:
Practice Address - Street 1:3801 WHIPPLE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-4802
Practice Address - Country:US
Practice Address - Phone:234-215-2782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN.457457163WC0400X
HIAPRN-3975-0363LP0808X
OHAPRN.CNP.003151363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management