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Individual

TIMOTHY ROBERT CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2190 N GRACE BLVD, CHANDLER, AZ 85225-3416
(480) 281-5055
(480) 917-0503
Mailing address
2547 N 48TH ST APT 5, PHOENIX, AZ 85008-2536
(406) 871-5204

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
269937
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
269937
ARIZONA BOARD OF NURSING
AZ
Enumeration date
11/14/2022
Last updated
11/14/2022
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