Ickes, Peggy

Ickes, Peggy is an individual health care provider with primary practice located at 1445 35Th St , Los Alamos NM 87544-2107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ickes, Peggy can be contacted via phone (505) 660-0317.

Contact Information

Primary practice address
1445 35Th St Los Alamos NM 87544-2107
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-02030 New Mexico

Profile Details

NPI number 1255681474
LBN Legal business name Ickes, Peggy
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2012
Last updated Sep 14th, 2012 - about 13 years ago

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.

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