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Individual
SUSAN L CAMPBELL
Active
Individual
SUSAN L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.10196
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000259823
OH MEDICAID UNISON
OH
01
—
2882288
OH MEDICAID MOLINA
OH
05
—
2882288
—
OH
01
—
310917085201
OH MEDICAID CARESOURCE
OH
05
—
3810013422
—
WV
01
—
P00665594
RAILROAD MEDICARE
—
Enumeration date
08/02/2005
Last updated
11/09/2017
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