Individual
PRESTON LEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1500 E 2ND ST STE 100, RENO, NV 89502-1189
(775) 982-5003
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-3900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
822824
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
822824
NV
Other
Enumeration date
05/22/2019
Last updated
05/20/2021
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