Peter, Ginny M

Peter, Ginny M is an individual health care provider with primary practice located at 224 Bradford Ln , Waterloo IL 62298-3369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Peter, Ginny M can be contacted via phone (618) 939-0112.

Contact Information

Primary practice address
224 Bradford Ln Waterloo IL 62298-3369
Phone: (618) 939-0112
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209007891 Illinois

Profile Details

NPI number 1831427657
LBN Legal business name Peter, Ginny M
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2009
Last updated Oct 2nd, 2019 - about 6 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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