Individual
MARIE ANTONETTE PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4360 COUNTRYSIDE GLEN CT, N LAS VEGAS, NV 89084-4966
(773) 983-1650
Mailing address
4360 COUNTRYSIDE GLEN CT, N LAS VEGAS, NV 89084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
829225
NV
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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