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NPI Code Detail

MEDICARE: PEGGY LYNN CANALES AGACNP-BC

MEDICARE: PEGGY LYNN CANALES AGACNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner0024175994VA
2363LA2100XAcute Care Nurse Practitioner311810AZ

General Provider Information

NPI Number : 1497259329
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY LYNN CANALES AGACNP-BC
Provider Business Mailing Address
First Line : 2800 E AJO WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6204
Country : US
Telephone Number : 520-694-8888
Fax Number : 520-505-2476
Provider Business Practice Location Address
First Line : 2800 E AJO WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6204
Country : US
Telephone Number : 520-694-8888
Fax Number : 520-505-2476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2018
Last Update Date : 04/28/2026

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