Healthcare Provider Details

I. General information

NPI: 1962913285
Provider Name (Legal Business Name): FERNAN PERALTA LPN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2017
Last Update Date: 10/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 N MARYLAND PKWY
LAS VEGAS NV
89101-3130
US

IV. Provider business mailing address

323 N MARYLAND PKWY
LAS VEGAS NV
89101-3130
US

V. Phone/Fax

Practice location:
  • Phone: 702-385-3330
  • Fax:
Mailing address:
  • Phone: 702-385-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number16258
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: