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Individual

MRS. MARCELLA MEADOWS CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC MSN

Contact information

Practice address
132 WILLIAM R HARVEY WAY, HAMPTON, VA 23669-4750
(757) 727-5316
(757) 728-6612
Mailing address
132 WILLIAM R HARVEY WAY, HAMPTON, VA 23669-4750
(757) 727-5316
(757) 728-6612

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP9894
CA
363LF0000X
Family Nurse Practitioner
Primary
0024170161
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009308150
MEDICAL DEPT OF HEALTH SE
CA
01
WNP9894A
PPIN MEDICARE
CA
Enumeration date
02/21/2007
Last updated
08/22/2019
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