Most Relevant Information
Provider Data
| NPI Number: | 1003404823 |
| Provider Name: | PEGGY ANN REINKE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R21705 |
Most Important Dates
| Enumeration Date: | 01/07/2021 |
| Last Updated: | 01/07/2021 |
Provider Practice Location
4255 30TH AVE S
FARGO
ND
581048427
Practice Location Phone/Fax
| Phone: | 7014788122 |
| Fax: |
Provider Mailing Location
PO BOX 91
LISBON
ND
580540091
Provider Mailing Phone/Fax
| Phone: | 7016802188 |
| Fax: |