Healthcare Provider Details

I. General information

NPI: 1093016545
Provider Name (Legal Business Name): DAWANDA MARIA CAMPBELL RN,BSN,CWCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2010
Last Update Date: 03/12/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 CLEARFIELD LN
CINCINNATI OH
45240-1256
US

IV. Provider business mailing address

895 CLEARFIELD LN
CINCINNATI OH
45240-1256
US

V. Phone/Fax

Practice location:
  • Phone: 513-742-1263
  • Fax:
Mailing address:
  • Phone: 513-742-1263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number377071
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: