Nurse Practitioner, Pediatrics
SOUTH VALLEY PEDIATRIC CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1740481837 · enumerated 2007-05-29 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mrs. GALE KOCH, Owner · (702) 492-0004
Addresses and phones
- Mailing address 2610 W HORIZON RIDGE PKWY, SUITE 200, HENDERSON, NV, 89052-2869 (702) 492-0004 Fax (702) 492-0006 Google Maps Apple Maps OpenStreetMap
- Practice location 2610 W HORIZON RIDGE PKWY, SUITE 200, HENDERSON, NV, 89052-2869 (702) 492-0004 Fax (702) 492-0006 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License apn000878 NV
In this directory
Locations and evidence
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Practice location
HENDERSON, NV, 890522869
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.