Individual
MS. CYNTHIA L CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10212 GOVERNOR LANE BLVD UNIT 1004, WILLIAMSPORT, MD 21795
(301) 733-4200
(301) 223-7121
Mailing address
825 5TH AVE STE 101, CHAMBERSBURG, PA 17201-4214
(717) 262-9700
(717) 262-9702
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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