Individual
ADENIKE ANDITO NKENGE DURRANT-CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3712 W NORTHERN AVE APT 444, PHOENIX, AZ 85051-9411
(404) 717-7521
Mailing address
PO BOX 39196, PHOENIX, AZ 85069-9196
(404) 717-7521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
248699
AZ
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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