Peterson, Ebony Shandreka

Peterson, Ebony Shandreka is an sole proprietor health care provider with primary practice located at 4344 W Cheyenne Ave , North Las Vegas NV 89032-2484. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Peterson, Ebony Shandreka can be contacted via phone (702) 350-2032.

Contact Information

Primary practice address
4344 W Cheyenne Ave North Las Vegas NV 89032-2484
Phone: (702) 350-2032
Fax: (725) 262-5536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 821513 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 821513 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 821513 Nevada

Profile Details

NPI number 1396293841
LBN Legal business name Peterson, Ebony Shandreka
Credentials FNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2016
Last updated Apr 18th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers