Provider Demographics
NPI:1326622788
Name:DUON, PEACHES (FNP-BC)
Entity Type:Individual
Prefix:
First Name:PEACHES
Middle Name:
Last Name:DUON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 S NEVADA HIGHWAY 160
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-4700
Mailing Address - Country:US
Mailing Address - Phone:775-727-8900
Mailing Address - Fax:
Practice Address - Street 1:1151 S NEVADA HIGHWAY 160
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-4700
Practice Address - Country:US
Practice Address - Phone:775-727-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV841040363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily