Individual
CLAUDETTE A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
107 W 4TH ST, AMINISTRATION, MOUNT VERNON, NY 10550-4002
(914) 699-7200
Mailing address
34 LENOX AVE, PLEASANTVILLE, NY 10570-3214
(914) 747-5260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6539701
REGISTRATION
NY
01
—
F339394
LICENSE
NY
Enumeration date
12/08/2015
Last updated
12/08/2015
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