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NPI Code Detail

MEDICARE: MRS. PEGGY ANN HIRTE ARNP

MEDICARE:  MRS. PEGGY ANN HIRTE  ARNP
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
1363L00000XNurse PractitionerF093374IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
290-0615535OTHERIATAX ID

General Provider Information

NPI Number : 1942298294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PEGGY ANN HIRTE ARNP
Provider Business Mailing Address
First Line : 706 AVENUE C
Second Line : SUIT A
City : WEST POINT
State : IA
Zip : 52656-9615
Country : US
Telephone Number : 319-470-7341
Fax Number :
Provider Business Practice Location Address
First Line : 706 AVENUE C
Second Line : SUIT A
City : WEST POINT
State : IA
Zip : 52656-9615
Country : US
Telephone Number : 319-837-6115
Fax Number : 319-837-6450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 10/26/2010

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Directions to “ MRS. PEGGY ANN HIRTE ARNP” Practice Location

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