IndividualActive
Preston Peterson, AGACNP
NPI 1801453030 · Gerontology Nurse Practitioner · Reno, NV
Provider details
- NPI number
- 1801453030
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Male
- Sole proprietor
- No
- License
- 822824 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1500 E 2nd St Ste 100
Reno, NV 89502-1189
Phone: (775) 982-5003
Approximate (ZIP-level) locationGet directions
Mailing address
1155 Mill St # Mcm14
Reno, NV 89502-1576
Registry dates
- Enumerated
- 2019-05-22
- Last updated
- 2021-05-20
- Certified
- 2021-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.