Peggy J Bair, Rnfa, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP2795 Issued in AZ

Legal business name

PEGGY J BAIR, RNFA, LLC

Practice address

2304 N Kachina CT
Chandler, AZ 85224-2284

Phone

(480) 390-2436

NPI assigned

Mar 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peggy Jo Bair

Title

Rnfa

Phone

(480) 390-2436

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1124148879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 N KACHINA CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 N KACHINA CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242284",
            "telephone_number": "480-390-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY J BAIR, RNFA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "480-390-2436"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN107405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.