Individual
TRACY ANN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(267) 582-8962
Mailing address
906 W 27TH ST, WILMINGTON, DE 19802-2944
(302) 236-6928
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
CNS000320
PA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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