Provider Demographics
NPI:1013099704
Name:BINTZ, PEGGY M (NP)
Entity Type:Individual
Prefix:MS
First Name:PEGGY
Middle Name:M
Last Name:BINTZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 684
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:NC
Mailing Address - Zip Code:28758-0684
Mailing Address - Country:US
Mailing Address - Phone:828-697-8471
Mailing Address - Fax:828-697-8471
Practice Address - Street 1:558 FLEMING ST
Practice Address - Street 2:STE A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4216
Practice Address - Country:US
Practice Address - Phone:828-697-8471
Practice Address - Fax:828-697-8471
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC199886363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCMC038081Medicaid
NC2592478BOtherMEDICARE PTAN
NC6005048Medicaid