Doctor Name: | PEGGY PAIS |
NPI Number: | 1376834499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, CNS-BC,APRN |
License Number: | AP120110 |
Business Practice Address: | 1706 Fm 1431 Marble Falls, TX - 786544954 |
Business Phone Number: | 5125888197 |
Business Fax Number: | 8302014092 |
Mailing Address: | 1706 Fm 1431, MARBLE FALLS |
State: | TX |
Postal Code: | 786544954 |
Phone Number: | 5125888197 |
Fax Number: | 8302014092 |
NPI Enumeration Date: | 04/23/2011 |
NPI Last Update Date: | 04/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | AP120110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |