Individual
MS. PEGGY WILDS KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
2572 W STATE ROAD 426, SUITE 3056, OVIEDO, FL 32765-8389
(407) 706-6580
(407) 706-6586
Mailing address
4673 ANSON LN, ORLANDO, FL 32814-6074
(407) 687-4302
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9171124
FL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
RN9171124
FL
Other
Enumeration date
05/15/2011
Last updated
03/12/2014
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