Provider Demographics
NPI:1326811944
Name:LAU, CAMELLA MARISSE NARAVAL (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAMELLA MARISSE
Middle Name:NARAVAL
Last Name:LAU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 CALAMUS PALM PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-2645
Mailing Address - Country:US
Mailing Address - Phone:702-902-7486
Mailing Address - Fax:
Practice Address - Street 1:727 CALAMUS PALM PL
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-2645
Practice Address - Country:US
Practice Address - Phone:702-902-7486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV810422163WM0705X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical