Individual
PEGGY TAYLOR
Active
Individual
PEGGY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
200318322
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003018322
LICENSE
MO
Enumeration date
12/18/2009
Last updated
12/18/2009
Update your record
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