Individual
AMANDA V CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
770 BROADWAY UNIT 5A, RAYNHAM, MA 02767-5271
(774) 481-5402
Mailing address
770 BROADWAY UNIT 5A, RAYNHAM, MA 02767-5271
(267) 820-9121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2301959
MA
Other
Enumeration date
03/24/2021
Last updated
10/06/2025
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