Individual
MS. BEVERLY A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1035 BELLEVUE AVE STE 305, SAINT LOUIS, MO 63117-1845
(314) 925-4709
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
74189
MO
Other
Enumeration date
02/01/2011
Last updated
10/14/2021
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