Provider Demographics
NPI:1326083031
Name:NANCI CAMPBELL, AUD, LLC
Entity Type:Organization
Organization Name:NANCI CAMPBELL, AUD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCI
Authorized Official - Middle Name:HARGRAVE
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:775-883-4764
Mailing Address - Street 1:844 W NYE LN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-1544
Mailing Address - Country:US
Mailing Address - Phone:775-883-4764
Mailing Address - Fax:775-883-1778
Practice Address - Street 1:844 W NYE LN
Practice Address - Street 2:SUITE 203
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-1544
Practice Address - Country:US
Practice Address - Phone:775-883-4764
Practice Address - Fax:775-883-1778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV136231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty