Provider Demographics
NPI:1073759544
Name:CURTIS, PEGGY SUE (RN)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:SUE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 S PLEASANT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-2856
Mailing Address - Country:US
Mailing Address - Phone:720-234-4723
Mailing Address - Fax:
Practice Address - Street 1:3034 S PLEASANT VIEW DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-2856
Practice Address - Country:US
Practice Address - Phone:720-234-4723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO78326163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant