Individual
OLIVIA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMPNA, CRNA
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
103622
WV
367500000X
Certified Registered Nurse Anesthetist
93432
WV
Other
Enumeration date
05/28/2019
Last updated
12/18/2022
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