Individual
BRIANNA ROSE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-AC
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6628
Mailing address
112 E 83RD ST APT 8B, NEW YORK, NY 10028-0880
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383775-01
NY
Other
Enumeration date
10/11/2024
Last updated
12/23/2024
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