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NPI Code Detail

MEDICARE: WILMA CAMPBELL

MEDICARE: WILMA CAMPBELL
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
1164W00000XLicensed Practical Nurse107220NY

General Provider Information

NPI Number : 1245460831
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILMA CAMPBELL
Provider Business Mailing Address
First Line : 3400 SNYDER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-3961
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 121 LAKE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2734
Country : US
Telephone Number : 212-719-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2009
Last Update Date : 07/17/2009

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Directions to “ WILMA CAMPBELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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