| Doctor Name: | PEGGY L CUVALA |
| NPI Number: | 1447247713 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NP366A |
| Business Practice Address: | 137 N 8th St St Maries, ID - 838611845 |
| Business Phone Number: | 2082454556 |
| Business Fax Number: | 2082453692 |
| Mailing Address: | Po Box 146, ST MARIES |
| State: | ID |
| Postal Code: | 838610146 |
| Phone Number: | 2082454556 |
| Fax Number: | 2082453692 |
| NPI Enumeration Date: | 10/03/2005 |
| NPI Last Update Date: | 11/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP366A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |