Individual
MRS. THERESA C CAMPAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
51 NORTH 39TH STREET, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Mailing address
51 NORTH 39TH STREET, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR07263200
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN254498L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50083771
CAPITAL BLUE CROSS
PA
Enumeration date
07/14/2006
Last updated
11/23/2011
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