Individual
PEGGY M ROYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
(401) 519-0330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP37464
RI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
NPP37464
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070604631
RI MEDICARE
RI
01
—
06012011
BCBSRI
RI
01
—
07-14-2011
UNITED HEALTHCARE
RI
05
—
110088781A
—
MA
01
—
939025129
GROUP RI MEDICARE
RI
05
—
PR70404
—
RI
Enumeration date
05/01/2008
Last updated
08/24/2020
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