Corina N Campos, CRNP | |
7133 Roosevelt Blvd, Philadelphia, PA 19149 | |
(215) 333-3311 | |
Not Available |
Full Name | Corina N Campos |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 7133 Roosevelt Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255826731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | SP016209 (Pennsylvania) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | SP016209 (Pennsylvania) | Primary |
Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
Mailing Address | Practice Location Address |
---|---|
Corina N Campos, CRNP 7133 Roosevelt Blvd, Philadelphia, PA 19149-1431 Ph: (215) 333-3311 | Corina N Campos, CRNP 7133 Roosevelt Blvd, Philadelphia, PA 19149 Ph: (215) 333-3311 |
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