Individual
MS. ANGELA TARA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, PMHNP-BC
Contact information
Practice address
1010 W 8TH AVE STE I, KING OF PRUSSIA, PA 19406-1349
(856) 346-0005
Mailing address
1010 W 8TH AVE STE I, KING OF PRUSSIA, PA 19406-1349
(856) 346-0005
(775) 920-1548
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SPO28411
PA
Other
Enumeration date
10/25/2023
Last updated
12/18/2024
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