Provider Demographics
NPI:1538297064
Name:CAMPBELL, JOHN B (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:B
Last Name:CAMPBELL
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Gender:M
Credentials:CRNA
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Mailing Address - Street 1:38249 YACHT BASIN ROAD
Mailing Address - Street 2:UNIT 20
Mailing Address - City:OCEAN VIEW
Mailing Address - State:DE
Mailing Address - Zip Code:19970
Mailing Address - Country:US
Mailing Address - Phone:302-537-4847
Mailing Address - Fax:302-537-4847
Practice Address - Street 1:801 MIDDLEFORD RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3636
Practice Address - Country:US
Practice Address - Phone:302-629-6611
Practice Address - Fax:302-629-4758
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
DEL1-0019978367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered