Individual
TEAIRRA MARIE PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 E FLAMINGO RD, LAS VEGAS, NV 89119-5190
(725) 331-1100
Mailing address
2110 E FLAMINGO RD STE 309, LAS VEGAS, NV 89119-5193
(951) 536-1028
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
89833
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/13/2026
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