Individual
PEGGY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,FNP-BC
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-3974
(956) 632-2171
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 632-2171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP118400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320261603
—
TX
Enumeration date
12/28/2010
Last updated
10/13/2020
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