Individual
SHAREEN NICOLE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
20 PAULA PL, ROSEDALE, MD 21237-4547
(443) 680-0361
Mailing address
9055 CHEVROLET DR STE 205, ELLICOTT CITY, MD 21042-4000
(410) 465-5451
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R196504
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
MD
Enumeration date
03/04/2021
Last updated
03/04/2021
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