Individual
PEGGY A VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
3131 BRIANNA BLVD, SEDALIA, MO 65301-2285
(660) 826-1381
(660) 827-3001
Mailing address
3131 BRIANNA BLVD, SEDALIA, MO 65301-2285
(660) 826-1381
(660) 827-3001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
093560
MO
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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