Shortt, Peggy O

Shortt, Peggy O is an individual health care provider with primary practice located at 3901 Hoyt Ave , Everett WA 98201-4918. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shortt, Peggy O can be contacted via phone (425) 339-5412.

Contact Information

Primary practice address
3901 Hoyt Ave Everett WA 98201-4918
Phone: (425) 339-5412
Fax: (425) 259-1164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30005632 Washington

Profile Details

NPI number 1043364722
LBN Legal business name Shortt, Peggy O
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jan 20th, 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 1043364722 NPPES
Washington MEDICAID 1042641
Washington MEDICAID 9641127
Washington Other 0202016

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