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NPI Code Detail

MEDICARE: NADINE CAMPBELL C.R.N.A.

MEDICARE: NADINE CAMPBELL C.R.N.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist442445NY

General Provider Information

NPI Number : 1417953415
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADINE CAMPBELL C.R.N.A.
Provider Business Mailing Address
First Line : 68 S SERVICE RD
Second Line : SUITE 350
City : MELVILLE
State : NY
Zip : 11747-2354
Country : US
Telephone Number : 516-945-3000
Fax Number :
Provider Business Practice Location Address
First Line : 10201 66TH RD
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-2029
Country : US
Telephone Number : 718-830-4090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 10/27/2009

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