Individual
MRS. GABRIELLE IRENE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8876 SPANISH RIDGE AVE STE 103, LAS VEGAS, NV 89148-1502
(702) 342-0858
(702) 342-0858
Mailing address
8906 SPANISH RIDGE AVE STE 202, LAS VEGAS, NV 89148-1319
(702) 330-3102
(702) 912-4994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002354
NV
Other
Enumeration date
10/05/2016
Last updated
07/22/2021
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