Peggy A Defoure in El Dorado - Nurse Practitioner
Peggy A Defoure - NPI 1922058858
Peggy A Defoure is a Nurse Practitioner in El Dorado, Arkansas. Peggy A Defoure practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Peggy A Defoure is 1922058858. The last update date is 2012-09-14.
Peggy A Defoure's current location address is 600 South Timberlane, El Dorado, Arkansas. You can contact this provider via phone number 8708648120. The mailing address for Peggy A Defoure is 600 South Timberlane, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peggy A Defoure |
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Address | 600 South Timberlane, El Dorado, Arkansas |
Phone Number | 8708648120 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1922058858 |
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Provider Enumeration Date | 2006-05-11 |
Last Updated Date | 2012-09-14 |
Provider Mailing Address Detail
Address | 600 South Timberlane |
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City | El Dorado |
State | Arkansas (AR) |
Post Code | 717300 |
Phone Number | 8708648120 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | AO1686 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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5Y648 | AR | BLUE |
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What is the Peggy A Defoure's 1922058858?
The Peggy A Defoure's NPI (National Provider Identifier) Number is 1922058858. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Peggy A Defoure?
The Peggy A Defoure is physically situated at 600 South Timberlane, in the city of El Dorado, state of AR, with the postal code 717300.
What is Peggy A Defoure's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peggy A Defoure is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
When did the Peggy A Defoure receive its 1922058858?
The Peggy A Defoure was issued its 1922058858 on 2006-05-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Peggy A Defoure, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Peggy A Defoure, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-14.