Peggy Ickes, FNP-BC
NPI #1255681474 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1255681474
- Entity Type
- Individual
- Name
- Peggy Ickes, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Sep 14, 2012
- Last Updated
- Sep 14, 2012
Practice Location
- Address
- 1445 35TH ST
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-2107
- Phone
- (505) 660-0317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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