Individual
CHASIDY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 RENFREW LN, COCONUT CREEK, FL 33073-3508
(954) 245-8831
Mailing address
4795 NW 10TH ST, COCONUT CREEK, FL 33063-4650
(954) 245-8831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP11027535
FL
Other
Enumeration date
07/25/2023
Last updated
12/02/2023
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