Provider Demographics
NPI:1295744704
Name:CAMPBELL, MERIEL FRIEDMAN (NP)
Entity type:Individual
Prefix:MRS
First Name:MERIEL
Middle Name:FRIEDMAN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MERIEL
Other - Middle Name:
Other - Last Name:FRIEDMAN-CAMPBELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7 GATE HOUSE TRL
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9520
Mailing Address - Country:US
Mailing Address - Phone:585-981-0035
Mailing Address - Fax:
Practice Address - Street 1:7 GATE HOUSE TRL
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14467-9520
Practice Address - Country:US
Practice Address - Phone:585-981-0035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400099363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health