Individual provider · Type 1 NPI
Stacy Ann Peters
Student in an Organized Health Care Education/Training Program · Las Vegas, NV
NPI number
1609097179
Active
Practice location
6877 W Charleston Blvd
Las Vegas, NV 89117-1600
Mailing address
212 Wicked Wedge Way
Las Vegas, NV 89148-2691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1609097179
Stacy Ann Peters's National Provider Identifier is 1609097179, issued on May 1, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 11, 2015.