Individual provider · Type 1 NPI
Theresa Peacock, NP
Family Nurse Practitioner · Las Vegas, NV
NPI number
1083736755
Active
Practice location
2581 El Camino Avenue, Suite 101
Las Vegas, NV 89102
Fax (702) 380-3212
Mailing address
2851 El Camino Ave
Las Vegas, NV 89102-4266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN67339 (DC) |
| Family Nurse Practitioner | 363LF0000X | 0024167292 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN001542 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083736755
Theresa Peacock, NP's National Provider Identifier is 1083736755, issued on Apr 4, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on May 20, 2024.