Nicholson, Peggy Eloise

Nicholson, Peggy Eloise is an individual health care provider with primary practice located at 1200 Hilyard St Ste 450 , Eugene OR 97401-8164. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nicholson, Peggy Eloise can be contacted via phone (458) 205-7131.

Contact Information

Primary practice address
1200 Hilyard St Ste 450 Eugene OR 97401-8164
Phone: (458) 205-7131
Fax: (541) 687-6214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201804601NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN002061 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-02348 New Mexico

Profile Details

NPI number 1235553801
LBN Legal business name Nicholson, Peggy Eloise
Credentials RN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2014
Last updated Aug 17th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235553801 NPPES
Nevada MEDICAID 1235553801

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