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Individual

MRS. PEGGY ANN HIRTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
706 AVENUE C, SUIT A, WEST POINT, IA 52656-9615
(319) 837-6115
(319) 837-6450
Mailing address
706 AVENUE C, SUIT A, WEST POINT, IA 52656-9615
(319) 470-7341

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F093374
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0433409
IA
01
90-0615535
TAX ID
IA
Enumeration date
10/11/2005
Last updated
10/26/2010
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