Individual
SHANDRY L PEUGEOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-108205
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-50070
BLUE CROSS GROUP NO.
AL
01
—
E359
MEDICARE
—
Enumeration date
07/31/2009
Last updated
12/03/2012
Update your record
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