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NPI Code Detail

MEDICARE: MRS. DAWANDA MARIA CAMPBELL RN,BSN,CWCN

MEDICARE:  MRS. DAWANDA MARIA CAMPBELL  RN,BSN,CWCN
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
1163WW0000XWound Care Registered Nurse377071OH

General Provider Information

NPI Number : 1093016545
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWANDA MARIA CAMPBELL RN,BSN,CWCN
Provider Business Mailing Address
First Line : 895 CLEARFIELD LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1256
Country : US
Telephone Number : 513-742-1263
Fax Number :
Provider Business Practice Location Address
First Line : 895 CLEARFIELD LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1256
Country : US
Telephone Number : 513-742-1263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2010
Last Update Date : 03/12/2025

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Directions to “ MRS. DAWANDA MARIA CAMPBELL RN,BSN,CWCN” Practice Location

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