Provider Demographics
NPI:1619048857
Name:FRIEDEN, PEGGY J (RN, RNFA)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:J
Last Name:FRIEDEN
Suffix:
Gender:F
Credentials:RN, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14406 OVERVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-2851
Mailing Address - Country:US
Mailing Address - Phone:214-697-8144
Mailing Address - Fax:972-991-8760
Practice Address - Street 1:14406 OVERVIEW CIR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-2851
Practice Address - Country:US
Practice Address - Phone:214-697-8144
Practice Address - Fax:972-991-8760
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242700163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant