Provider Demographics
NPI:1780822866
Name:CAMPBELL, ELEANOR KARANNE (ANP)
Entity Type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:KARANNE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:702-820-3581
Mailing Address - Fax:702-804-3783
Practice Address - Street 1:8680 W CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7458
Practice Address - Country:US
Practice Address - Phone:702-750-3425
Practice Address - Fax:702-750-3434
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002741363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner