Peacock, Alicia Nicole

Peacock, Alicia Nicole is an sole proprietor health care provider with primary practice located at 1850 East Hwy 66 , Gallup NM 87301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Peacock, Alicia Nicole can be contacted via phone (505) 918-4602.

Contact Information

Primary practice address
1850 East Hwy 66 Gallup NM 87301
Phone: (505) 918-4602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP-02574 New Mexico

Profile Details

NPI number 1811394828
LBN Legal business name Peacock, Alicia Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2014
Last updated Sep 11th, 2015 - about 10 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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