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Individual

THERESA PEACOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2581 EL CAMINO AVENUE, SUITE 101, LAS VEGAS, NV 89102
(702) 380-3210
(702) 380-3212
Mailing address
2851 EL CAMINO AVE, LAS VEGAS, NV 89102-4266
(702) 380-3210
(702) 380-3212

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN67339
DC
363LF0000X
Family Nurse Practitioner
0024167292
VA
363LF0000X
Family Nurse Practitioner
Primary
APRN001542
NV

Other

Enumeration date
04/04/2007
Last updated
05/20/2024
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