MEDICARE: MS. ELEANOR KARANNE CAMPBELL ANP

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	363LC1500X	Community Health Nurse Practitioner	APRN002741	NV
2	363L00000X	Nurse Practitioner	APRN002741	NV

General Provider Information

NPI Number	:	1780822866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELEANOR KARANNE CAMPBELL ANP

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-820-3581
Fax Number	:	702-804-3783

Provider Business Practice Location Address
First Line	:	2080 E FLAMINGO RD STE 302
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5180
Country	:	US
Telephone Number	:	702-657-3873
Fax Number	:	702-636-0787

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

Provider Enumeration Date	:	01/28/2009
Last Update Date	:	07/24/2025

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