Individual
THELMA M CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4101 NW 4TH ST, SUITE 306, PLANTATION, FL 33317
(954) 522-2979
(954) 903-0633
Mailing address
4101 NW 4TH ST, SUITE 306, PLANTATION, FL 33317
(954) 522-2979
(954) 903-0633
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
AN1400462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302476800
—
FL
Enumeration date
10/04/2006
Last updated
01/07/2020
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