Peggy Jan Briggs, ARNP

Individual provider Active NPI Nurse Practitioner · Graham, WA

NPI 1790796704 · NPPES record last updated Jul 9, 2018

Key facts

NPI
1790796704
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
AP60327305 (WA)
Practice address
22007 Meridian Ave E Ste C
Graham, WA 98338
Phone
(253) 780-4930
Fax
(253) 375-6842
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60327305WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa J Perkowski MD PC Past Accepting new patients
Department of State Health Services Past
since May 1, 2005
Accepting new patients
Briarwood Clinic, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 521048 TX
Nurse Practitioner 363L00000X AP60327305 WA Yes

Addresses

Primary practice location

22007 Meridian Ave E Ste C
Graham, WA 98338

Mailing address

22007 Meridian Ave E Ste C
Graham, WA 98338-8412
Phone (253) 780-4930

Other providers in Graham, WA

All providers in Graham, WA · Nurse Practitioner in Washington

Sources for this page

Verify at the official NPI Registry.