Provider Demographics
NPI:1659358695
Name:FRENCH, PEGGY A (NP)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:A
Last Name:FRENCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:A
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19588 JENA DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-6796
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7120 CLEARVISTA DRIVE
Practice Address - Street 2:SUITE 1500
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1695
Practice Address - Country:US
Practice Address - Phone:317-621-9292
Practice Address - Fax:317-621-9299
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001241363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01291558OtherRAILROAD MEDICARE
IN252034OtherWELLCARE
IN000000555974OtherANTHEM
INP01405400OtherMEDICARE RR
IN200443740Medicaid
IN252034OtherWELLCARE
IN266180349Medicare PIN
INM400056829Medicare PIN
IN000000555974OtherANTHEM