Provider Demographics
NPI:1407170210
Name:STRUEBING, PEGGY A (PA-C)
Entity Type:Individual
Prefix:MS
First Name:PEGGY
Middle Name:A
Last Name:STRUEBING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:PEGGY
Other - Middle Name:A
Other - Last Name:VOSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8200 DODGE ST
Mailing Address - Street 2:CHILDREN'S HOSPITAL & MEDICAL CENTER
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4113
Mailing Address - Country:US
Mailing Address - Phone:402-955-5400
Mailing Address - Fax:
Practice Address - Street 1:7823 CHICAGO CT
Practice Address - Street 2:CHILDREN'S HOSPITAL & MEDICAL CENTER - ENDOCRINOLOGY
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3654
Practice Address - Country:US
Practice Address - Phone:402-955-3871
Practice Address - Fax:402-955-8738
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE270363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant