Individual
PEGGY ANN DULHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
(765) 677-5162
Mailing address
2355 E BOCOCK RD, MARION, IN 46952-8751
(765) 664-7429
(765) 668-4993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28092871
IN
363LF0000X
Family Nurse Practitioner
Primary
71000613A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196650A
—
IN
Enumeration date
06/09/2006
Last updated
08/26/2014
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