Peterson, Ebony Shandreka
Peterson, Ebony Shandreka is an sole proprietor health care provider with primary practice located at 4344 W Cheyenne Ave , North Las Vegas NV 89032-2484. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Peterson, Ebony Shandreka can be contacted via phone (702) 350-2032.Contact Information
Primary practice address
4344 W Cheyenne Ave
North Las Vegas NV 89032-2484
Phone: (702) 350-2032
Fax: (725) 262-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 821513 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 821513 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 821513 | Nevada |
Profile Details
| NPI number | 1396293841 |
|---|---|
| LBN Legal business name | Peterson, Ebony Shandreka |
| Credentials | FNP-BC, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2016 |
| Last updated | Apr 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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