Provider Demographics
NPI:1578607974
Name:CAMPBELL, MARILYN GREENE (CPM-TN)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:GREENE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:CPM-TN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 BOWWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2302
Mailing Address - Country:US
Mailing Address - Phone:615-848-5557
Mailing Address - Fax:
Practice Address - Street 1:326 BOWWOOD DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2302
Practice Address - Country:US
Practice Address - Phone:615-848-5557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCPM0000000005176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife