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Individual

MS. CYNTHIA L CAMPBELL

Active
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Individual

MS. CYNTHIA L CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R069233
MD
367500000X
Certified Registered Nurse Anesthetist
RN326841L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050514
MEDICARE GROUP #
PA
05
102084316 0003
PA
01
120420418
DEPT OF LABOR
PA
01
25-1716306
FIRST HEALTH
PA
01
253320
UNISON
PA
01
50073154
CAPITAL BLUECROSS
PA
01
G920-0086/85XWCU
CAREFIRST
PA
01
P00458420
RAILROAD MEDICARE
PA
01
PEARL
HEALTH AMERICA
PA
01
RN326841L
LICENSE
PA
Enumeration date
11/02/2005
Last updated
12/07/2018
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