Individual provider · Type 1 NPI
Peggy Grandy Gallup, NP
Women's Health Nurse Practitioner · Phoenix, AZ
NPI number
1467425579
Active
Practice location
635 E Baseline Rd
Phoenix, AZ 85042-6551
Fax (602) 243-1235
Mailing address
2702 North 3rd Street, Suite 4020
Phoenix, AZ 85004-4608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN084459 (AZ) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | A6793 (AZ) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1467425579
Peggy Grandy Gallup, NP's National Provider Identifier is 1467425579, issued on Feb 9, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 2, 2015.