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Individual
MYRA S. CAMPBELL
Active
Individual
MYRA S. CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
32161
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q077398
—
TN
Enumeration date
04/12/2019
Last updated
10/07/2024
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