Peggy J Bair, Rnfa, LLC
Nurse Practitioner, Family in Chandler, AZ. Organization (NPI-2).
NPI number1124148879
StatusActive
Last updated in NPPESMar 16, 2016
Details
- NPI
- 1124148879
- Entity type
- Organization (NPI-2)
- Legal business name
- Peggy J Bair, Rnfa, LLC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2007
- Last updated
- Mar 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP2795 | AZ | Yes |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN107405 | AZ |
Practice location
2304 N Kachina CtChandler, AZ 85224-2284
Phone 480-390-2436
Mailing address
2304 N Kachina CtChandler, AZ 85224-2284
Authorized official
Peggy Jo Bair
Rnfa
4803902436
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