Provider Demographics
NPI:1184852790
Name:PIETTE, PEGGY (ARNP)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:PIETTE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 SWIFTWATER RD
Mailing Address - Street 2:
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785-1423
Mailing Address - Country:US
Mailing Address - Phone:603-747-2900
Mailing Address - Fax:603-747-2992
Practice Address - Street 1:103 SWIFTWATER RD
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785-1423
Practice Address - Country:US
Practice Address - Phone:603-747-2900
Practice Address - Fax:603-747-2992
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH043810-23363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health