Individual
MRS. PEGGY ANN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2106 HICKORY SUMMIT CT, WILDWOOD, MO 63011-5402
(696) 405-2656
Mailing address
401 HEATHSTONE LN, SAINT LOUIS, MO 63122-7115
(314) 822-4857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
106743
MO
163WR0006X
Registered Nurse First Assistant
Primary
106743
MO
Other
Enumeration date
03/01/2012
Last updated
03/05/2012
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