Individual
PEGGY LYNN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
(812) 996-8497
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1042096
KY
163W00000X
Registered Nurse
28104336A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28104336A
IN
367500000X
Certified Registered Nurse Anesthetist
3006868
KY
Other
Enumeration date
02/24/2011
Last updated
06/11/2013
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