Individual provider · Type 1 NPI

Samantha Sophia Peckham, APRN FNP-BC PMHNP-BC

Nurse Practitioner · Las Vegas, NV

NPI number 1134546286 Active

Practice location

10040 W Cheyenne Ave Ste 170
Las Vegas, NV 89129-7721

Call (702) 907-5080 Map

Fax (702) 725-1416

Mailing address

4898 Al Carrison St
Las Vegas, NV 89149-3279

Other practice locations

  • 2004 S Jones Blvd, Las Vegas, NV 89146-3151 · (702) 463-3631

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X1667 (NV)
Nurse Practitioner Primary 363L00000X001667 (NV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1134546286

Samantha Sophia Peckham, APRN FNP-BC PMHNP-BC's National Provider Identifier is 1134546286, issued on Mar 26, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on May 22, 2025.