REYNALY CAMPOS


Address: 10680 Spruce Bough St, Las Vegas, NV 89183-4631
Phone: 7022744721

REYNALY CAMPOS (NPI# 1154922300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154922300
Entity Type Individual
Full Name REYNALY CAMPOS
Credential APRN FNP-C
Practice Address 10680 Spruce Bough St
Las Vegas
NV 89183-4631
Practice Telephone 7022744721
Mailing Telephone 7022744721
Enumeration Date 2020-11-04
Last Update Date 2020-11-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
835279 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10680 SPRUCE BOUGH ST
City LAS VEGAS
State NV
Zip Code 89183-4631

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89183

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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