Smith, Peggy Ann
Smith, Peggy Ann is an individual health care provider with primary practice located at 4114 Bridgeport Way W , University Place WA 98466-4315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Peggy Ann can be contacted via phone (253) 564-4157.Contact Information
Primary practice address
4114 Bridgeport Way W
University Place WA 98466-4315
Phone: (253) 564-4157
Fax: (253) 220-2491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30006974 | Washington |
Profile Details
| NPI number | 1467504084 |
|---|---|
| LBN Legal business name | Smith, Peggy Ann |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467504084 | NPPES |
| Washington | Other | RN00138953 | REGISTARED NURSE LICENSE |
| Washington | Other | 20040025-22 | REGISTARED NURSE LICENSE |
| Washington | Other | AP30006974 | REGISTARED NURSE LICENSE |
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