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Individual

PEGGY L O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
MILE 187 GLENN HIGHWAY, GLENNALLEN, AK 99588
(907) 822-3203
(907) 822-5805
Mailing address
PO BOX 5, GLENNALLEN, AK 99588-0589
(907) 822-3203
(907) 822-5805

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CP000735
SD
363LF0000X
Family Nurse Practitioner
Primary
NURU1369
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1599641
AK
Enumeration date
08/15/2012
Last updated
05/07/2025
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