NPI 1063055150

Stacy Petersen

Practitioner Electroneurodiagnostic Specialist/Technologist Las Vegas, NV

Practice location

Address: 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528
Phone: (855) 864-4322
Fax: (866) 540-8267
Mailing address: 1571 Plaza Centre Dr, Las Vegas, NV 89135-3408

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X

Other Specialist/Technologist, Other providers in Nevada →

Registry record

NPI: 1063055150
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2019
Record last updated: 22 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.