Peggy McKibbin
Individual provider Active NPI School Registered Nurse · Odessa, DE
NPI 1700920436 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700920436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- L10027095 (DE)
- Practice address
- 118 South Sixth St
Odessa, DE 19730 - Phone
- (302) 376-4128
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L10027095 | DE | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appoquinimink School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | L10027095 | DE | Yes |
Addresses
Primary practice location
118 South Sixth St
Odessa, DE 19730
Mailing address
118 South Sixth St
Odessa, DE 19730
Other providers in Odessa, DE
- Seth Martin
- Daysy Martinez
- Ashley McDevitt
- Adrienne McFarland
- Ceara McGill
- Karen McLellan
- Maribeth Miller
- Janet J Montanaro
- Brandi Moore
- Hailey Sue Morelos
All providers in Odessa, DE · School Registered Nurse in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.