Peggy Yvonne Lively in Surfside Beach - Family
Peggy Yvonne Lively - NPI 1033239678
Peggy Yvonne Lively is a Family in Surfside Beach, South Carolina. Peggy Yvonne Lively practices all healthcare services and medical treatments related to Family. The NPI Number for Peggy Yvonne Lively is 1033239678. The last update date is 2013-09-12.
Peggy Yvonne Lively's current location address is 1916 Shell Ct, Surfside Beach, South Carolina. You can contact this provider via phone number 9548950222. The mailing address for Peggy Yvonne Lively is 1916 Shell Ct, Surfside Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy Yvonne Lively |
|---|---|
| Address | 1916 Shell Ct, Surfside Beach, South Carolina |
| Phone Number | 9548950222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1033239678 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2013-09-12 |
Provider Mailing Address Detail
| Address | 1916 Shell Ct |
|---|---|
| City | Surfside Beach |
| State | South Carolina (SC) |
| Post Code | 295754630 |
| Phone Number | 9548950222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 3938 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP1563 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peggy Yvonne Lively by the Centers for Medicare & Medicaid Services?
The Peggy Yvonne Lively has been issued the NPI (National Provider Identifier) 1033239678, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Peggy Yvonne Lively is physically located?
The Peggy Yvonne Lively is physically situated at the following address: 1916 Shell Ct, Surfside Beach, SC, 295754630.
What is Peggy Yvonne Lively's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peggy Yvonne Lively is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Peggy Yvonne Lively receive its 1033239678 assignment from the Centers for Medicare & Medicaid Services?
The Peggy Yvonne Lively was assigned its 1033239678 by the Centers for Medicare & Medicaid Services on 2007-03-29.
When was the information pertaining to Peggy Yvonne Lively most recently updated or revised?
The details related to Peggy Yvonne Lively, including its address, specialty, and other relevant information, were last updated or revised on 2013-09-12.
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