Individual
MS. AMBER LESHAY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4490 N RANCHO DR, LAS VEGAS, NV 89130-3406
(702) 655-0550
(702) 655-0545
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
832095
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023635968
—
NV
01
—
832095
STATE LICENSE
NV
Enumeration date
06/26/2020
Last updated
10/19/2022
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