Individual
AMANDA ROSE PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
332 MALI HEIGHTS CT, HENDERSON, NV 89074-1289
(702) 408-5173
Mailing address
332 MALI HEIGHTS CT, HENDERSON, NV 89074-1289
(702) 408-5173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8118080
NV
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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