Individual
MRS. PEGGY S. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 LINCOLN ST., GRAFTON, WV 26354
(304) 265-7900
(304) 265-7901
Mailing address
333 LINCOLN ST., GRAFTON, WV 26354
(304) 265-7900
(304) 265-7901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30549
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7103173000
—
WV
Enumeration date
09/20/2005
Last updated
08/12/2025
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