OrganizationActive
South Valley Pediatric Center
NPI 1740481837 · Pediatric Nurse Practitioner · Henderson, NV
Provider details
- NPI number
- 1740481837
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gale Koch, Owner(702) 492-0004
- License
- APN000878 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2610 W Horizon Ridge Pkwy
Suite 200
Henderson, NV 89052-2869
Phone: (702) 492-0004
Fax: (702) 492-0006
Approximate (ZIP-level) locationGet directions
Mailing address
2610 W Horizon Ridge Pkwy
Henderson, NV 89052-2869
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.