Provider Demographics
NPI:1174617385
Name:MORROW, PEGGY SUSAN (APN)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:SUSAN
Last Name:MORROW
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 MCCAIN PARK DR 116
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-7813
Mailing Address - Country:US
Mailing Address - Phone:501-758-9993
Mailing Address - Fax:501-771-4885
Practice Address - Street 1:3805 MCCAIN PARK DR 116
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7813
Practice Address - Country:US
Practice Address - Phone:501-771-4693
Practice Address - Fax:501-771-4885
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARCNS501007163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult