Individual
ALICIA DAWN CAMPANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
16018 W 710 RD, TAHLEQUAH, OK 74464-0440
(918) 916-3030
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
206445
OK
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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