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Bryanna Campbell

Licensed Practical Nurse in Brooklyn, NY. Individual provider (NPI-1).

NPI number1831769983
StatusActive
Last updated in NPPESJun 30, 2021

Details

NPI
1831769983
Entity type
Individual (NPI-1)
Name
Mrs. Bryanna Campbell
Sex
Female
Sole proprietor
No
Enumeration date
Jun 30, 2021
Certification date
Jun 30, 2021
Last updated
Jun 30, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse33148401NYYes

Practice location

6424 18th Ave
Brooklyn, NY 11204-3729

Phone 212-687-7464

Mailing address

6424 18th Ave
Brooklyn, NY 11204-3729

Phone 212-687-7464

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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