Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marie Antonette Peralta

Individual provider Nurse Practitioner · NPI 1891630554

Marie Antonette Peralta is a Nurse Practitioner in N las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2026

Practice location Address checks out

4360 Countryside Glen Ct
N las Vegas, NV 89084-4966
Phone: (773) 983-1650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 829225 (NV)

Record details

NPI number1891630554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address4360 Countryside Glen Ct, N Las Vegas, NV 89084

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