Individual
PEGGY ANN PRUCHNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11441 ALLERTON PARK DR UNIT 402, LAS VEGAS, NV 89135-3376
(702) 279-6683
Mailing address
5568 S FORT APACHE RD, LAS VEGAS, NV 89148-3602
(702) 274-6559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5774479-4405
UT
Other
Enumeration date
07/21/2008
Last updated
03/02/2023
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