Peggy Ann Gonwa-Marquardt, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

16243-31 Issued in WI

Practice address

1320 Schoenhaar Dr
West Bend, WI 53090-5401

Phone

(262) 338-1536

NPI assigned

Sep 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Peggy Ann Alliet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1417230400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SCHOENHAAR DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530905401",
            "telephone_number": "262-338-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SCHOENHAAR DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530905401",
            "telephone_number": "262-338-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONWA-MARQUARDT",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "16243-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "ALLIET",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandy Nicole Gliniecki
• Melissa A Gloff, APSW
• Julie Ann Gobler, AUD, CCC-A
• Abigail J Godejohn
• Janet Goldman, MD
• Mary Jean Gonwa, LCSW
• Dawn D Goralski
• Joseph P. Gormley, M.D.
• Jeffrey B Goza, MD
• Kerrie Lynn Goza

• Licensed Practical Nurse in West Bend, WI
• Providers in West Bend, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.