Individual
PEGGY C SCANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
320 ALPENGLOW LANE, LIVINGSTON, MT 59047
(406) 823-6414
(406) 823-6287
Mailing address
320 ALPENGLOW LANE, LIVINGSTON, MT 59047
(406) 823-6414
(406) 823-6287
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN010950
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000037361
BLUECROSSBLUESHIELD
MT
05
—
0431630
—
MT
01
—
500003914
MEDICARE RR
MT
Enumeration date
08/29/2006
Last updated
12/09/2015
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