Individual
DUSTIN LEE PEAYTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, DMPNA
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(855) 446-5937
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-1949
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.437658
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRNCRNA019528
OH
Other
Enumeration date
05/11/2017
Last updated
08/11/2021
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