Ryan, Peggi

Ryan, Peggi is an individual health care provider with primary practice located at 314 W 16Th St , Pueblo CO 81003-2728. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ryan, Peggi can be contacted via phone (719) 546-3511.

Contact Information

Primary practice address
314 W 16Th St Pueblo CO 81003-2728
Phone: (719) 546-3511
Fax: (719) 583-1259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1647116 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 107737 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP0000558 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28142.1052 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 993030 Colorado

Profile Details

NPI number 1366419582
LBN Legal business name Ryan, Peggi
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 12th, 2021 - about 5 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 1366419582 NPPES
Missouri MEDICAID 424748317

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