Individual
PEGGY DARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 MEDICAL DR, BLYTHEVILLE, AR 72315-1425
(870) 563-6504
(870) 563-7482
Mailing address
112 E CHERYL ST, OSCEOLA, AR 72370-2808
(870) 563-6504
(870) 563-7482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004519
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214376758
—
AR
Enumeration date
10/28/2015
Last updated
07/21/2022
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