Individual
NEDRICK NEDVADA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16832 127TH AVE APT 7H, JAMAICA, NY 11434-3144
(347) 296-5904
Mailing address
16832 127TH AVE APT 7H, JAMAICA, NY 11434-3144
(347) 296-5904
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310605
NY
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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