Individual
PEGGY P CASSADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
705 PINEY FOREST RD, DANVILLE, VA 24540-2860
(434) 710-4210
Mailing address
705 PINEY FOREST RD, DANVILLE, VA 24540-2860
(434) 710-4210
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024059075
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024059075
ANP LICENSE
VA
05
—
1093837395
—
VA
Enumeration date
04/06/2007
Last updated
06/25/2012
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