Individual
PEGGY LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
821 S MAIN ST, TRENTON, FL 32693-3238
(352) 463-6292
(352) 463-4507
Mailing address
911 S MAIN ST, TRENTON, FL 32693-3239
(352) 463-6292
(352) 463-4507
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP1569032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307483800
—
FL
01
—
58539
BC
FL
01
—
ARNP1569032
MEDICAL LICENSE
FL
Enumeration date
07/04/2006
Last updated
09/06/2011
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