Individual
PEGGY WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
704 W GROVE ST STE 3, EL DORADO, AR 71730
(870) 875-5577
(870) 875-5507
Mailing address
704 W GROVE ST STE 3, EL DORADO, AR 71730-4469
(870) 875-5577
(870) 875-5507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005118
AR
363LF0000X
Family Nurse Practitioner
AP132010
TX
Other
Enumeration date
03/30/2017
Last updated
04/19/2026
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