Individual
MRS. GEORGETTE BURRIS-CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
118 HEMISON CT, PIKESVILLE, MD 21208-3345
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R156209
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420032200
—
MD
Enumeration date
10/28/2008
Last updated
08/05/2022
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