Individual provider · Type 1 NPI

Shanique R. Campbell, NP

Family Nurse Practitioner · New York, NY

NPI number 1306314067 Active

Practice location

1 Gustave L Levy Pl
New York, NY 10029-6504

Mailing address

472 Gramatan Ave Apt H4
Mount Vernon, NY 10552-2972

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF342894-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1306314067

Shanique R. Campbell, NP's National Provider Identifier is 1306314067, issued on Nov 10, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Nov 10, 2018.