Preston Lee Peterson, AGACNP
Nurse Practitioner, Gerontology in Sparks, NV. Individual provider (NPI-1).
NPI number1801453030
StatusActive
Last updated in NPPESAug 31, 2026
Details
- NPI
- 1801453030
- Entity type
- Individual (NPI-1)
- Name
- Preston Lee Peterson
- Credential
- AGACNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2019
- Certification date
- Aug 31, 2026
- Last updated
- Aug 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 822824 | NV | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 822824 | NV |
Practice location
2385 E Prater Way Ste 302Sparks, NV 89434-9638
Phone 775-356-4514 · Fax 775-356-4991
Mailing address
1155 Mill St # Mcm14Reno, NV 89502-1576
Phone 775-982-5262 · Fax 775-982-3900
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