Individual
MRS. PEGGY ANN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
7 E MAIN ST, GOSPORT, IN 47433
(812) 879-4222
(812) 879-4834
Mailing address
7 EAST MAIN STREET, GOSPORT, IN 47433-0009
(812) 879-4222
(812) 879-4834
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002258A
IN
Other
Enumeration date
01/05/2006
Last updated
07/13/2007
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