Provider Demographics
NPI:1730057191
Name:NELSON, ANETTE OCAMPO
Entity type:Individual
Prefix:
First Name:ANETTE
Middle Name:OCAMPO
Last Name:NELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5851 FALLING STREAM AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-2173
Mailing Address - Country:US
Mailing Address - Phone:725-335-9042
Mailing Address - Fax:725-335-9042
Practice Address - Street 1:5851 FALLING STREAM AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-2173
Practice Address - Country:US
Practice Address - Phone:725-335-9042
Practice Address - Fax:725-335-9042
Is Sole Proprietor?:No
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion