MEDICARE: LAINA CELIA CAMPOS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	209919	CT

General Provider Information

NPI Number	:	1770418352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAINA CELIA CAMPOS

Provider Business Mailing Address
First Line	:	1 GREYROCK PL APT 4006
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06901-3141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1137 POST RD E
Second Line	:
City	:	WESTPORT
State	:	CT
Zip	:	06880-5433
Country	:	US
Telephone Number	:	203-644-4507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ LAINA CELIA CAMPOS ” Practice Location

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