Individual
PEGGY HILL SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6440 SOUTH MILLROCK DR SUITE 175, COMP HEALTH, SALT LAKE CITY, UT 84171
(800) 634-9583
(866) 588-1339
Mailing address
528 OLD RICHBURG RD, P O BOX 414, PURVIS, MS 39475-7801
(601) 794-5045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3282
AZ
363LF0000X
Family Nurse Practitioner
R727296
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05851267
—
MS
05
—
411368
—
AZ
01
—
CG7880
MEDICARE RAILROAD
AZ
Enumeration date
01/03/2008
Last updated
03/10/2011
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