Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN002389 | NV |
NPI | 1023317955 |
---|---|
Provider Name | Melanie C Ocampo |
First Address | Las Vegas, NV 89103-6802 |
Second Address | Las Vegas, NV 89104-3713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2011 |
Last Update Date | 26/10/2016 |