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Individual

MRS. PEGGY ANN FLEASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP,APNP

Contact information

Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
(920) 225-1479
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 738-4780
(920) 738-5787

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
85351-030
WI
363L00000X
Nurse Practitioner
Primary
1087-033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43943900
WI
Enumeration date
05/12/2006
Last updated
01/28/2011
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