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Individual
PEGGY A ALLEN
Active
Individual
PEGGY A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
364SP0811X
Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP30002509
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1130AL
REGENCE BLUE SHIELD
WA
01
—
8928924
DEPARTMENT OF L&I
WA
05
—
9615139
—
WA
Enumeration date
03/17/2006
Last updated
11/21/2011
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