Individual
CORA MICHELLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3200 MACCORKLE AVENUE, SE, CHARLESTON, WV 25304
(304) 388-5559
Mailing address
96 CHESTNUT RIDGE ROAD, KENNA, WV 25248
(304) 372-2341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
44162
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
073556
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005178
—
WV
Enumeration date
08/05/2006
Last updated
09/11/2025
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