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Individual

PEGGY ANN LIVINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
115 WEDGEWOOD DR, # 3, LINCOLN, NE 68510-2434
(402) 641-5466
Mailing address
115 WEDGEWOOD DR, # 3, LINCOLN, NE 68510-2434
(402) 641-5466

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
60885
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H12123018
DRIVERS LISC
NE
Enumeration date
05/22/2007
Last updated
07/08/2007
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