Healthcare Provider Details

I. General information

NPI: 1902966831
Provider Name (Legal Business Name): PEGGY DUNNIGAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 2ND ST
LANGDON ND
58249-2407
US

IV. Provider business mailing address

909 2ND ST
LANGDON ND
58249-2407
US

V. Phone/Fax

Practice location:
  • Phone: 701-256-6100
  • Fax: 701-256-2170
Mailing address:
  • Phone: 701-256-6100
  • Fax: 701-256-2170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: