Individual
MRS. PEGGY JEAN HALSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDM, CPM
Contact information
Practice address
2405 S. KNIK GOOSE BAY ROAD, WASILLA, AK 99654
(907) 841-2565
(888) 862-1422
Mailing address
PO BOX 874486, WASILLA, AK 99687-4486
(907) 841-2565
(888) 862-1422
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
44
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022098
—
AK
01
—
44
STATE LICENSE NUMBER
AK
05
—
NM0044
—
AK
Enumeration date
04/10/2007
Last updated
03/12/2018
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