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Individual

MOLLY P CAMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2462
(540) 981-8749
(540) 981-9305
Mailing address
2001 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2462
(540) 981-8749
(540) 981-9305

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024172980
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952773855
VA
Enumeration date
10/30/2015
Last updated
04/25/2024
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