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Tyra Ashley Campbell
Licensed Practical Nurse in Brooklyn, New York
NPI 1811761489

Tyra Ashley Campbell is a Licensed Practical Nurse based in Brooklyn, NY. Tyra Ashley Campbell practices in Brooklyn, NY. The NPI Number for Tyra Ashley Campbell is 1811761489 and holds a License No. 346807-01 (New York).

The current practice location address for Tyra Ashley Campbell is 6424 18Th Ave, Brooklyn, NY and can be reached out via phone at 212-687-7464.

Location: 6424 18Th Ave, Brooklyn, NY, 11213-5291
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811761489
Provider Name
Tyra Ashley Campbell
Credential
Provider Entity Type
Individual
Gender
Female
Address
6424 18Th Ave, Brooklyn, NY, 11213-5291
Phone Number
212-687-7464
Fax Number
Provider Enumeration Date
11/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6424 18Th Ave
City
Brooklyn
State
New York
Zip
11204-3729
Phone Number
212-687-7464
Fax Number
person
Provider Business Mailing Address Details
Address
6424 18Th Ave
City
Brooklyn
State
New York
Zip
11204-3729
Phone Number
212-687-7464
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
346807-01 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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