PEGGY HUDELSON


Address: 1637 Honey Hole Rd, White Haven, PA 18661-3405
Phone: 5704438887

PEGGY HUDELSON (NPI# 1205435542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205435542
Entity Type Individual
Full Name PEGGY HUDELSON
Credential R.N.
Practice Address 1637 Honey Hole Rd
White Haven
PA 18661-3405
Practice Telephone 5704438887
Mailing Telephone 5704438887
Enumeration Date 2020-10-19
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
RN199141L PA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 5N87HC5HW34 05

Office Location

Street Address 1637 HONEY HOLE RD
City WHITE HAVEN
State PA
Zip Code 18661-3405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093901555 Sylvia L Lafair Psychologist 45 Country Place Lane, White Haven, PA 18661 2007-09-19
1124235403 Andrea Marie Patrick Pharmacist 2 Main Street, White Haven, PA 18661 2007-05-17
1831557529 Judith Kovack Speech-Language Pathologist 620 Towanda St, White Haven, PA 18661-1217 2016-02-09
1932352234 Francis Michael Glushefski Dentist 414 Lehigh Street, White-haven, PA 18661-1222 2008-10-30
1679862080 Bethann Feist Pharmacist 501 Main St, Suite 2, White Haven, PA 18661-1513 2011-04-06
1437249554 Rite Aid of Pennsylvania LLC Durable Medical Equipment & Medical Supplies 501 Main Street, White Haven, PA 18661-1513 2006-10-13
1801102108 Lesley Ann Mcdermott Speech-Language Pathologist 330 Towanda Street, White Haven, PA 18661-1515 2010-08-24
1104042019 White Haven Rescue Unit, Inc. Ambulance 500 Towanda St # 502, White Haven, PA 18661-1519 2007-04-18
1851711394 Rose Firdous Massage Therapist 201 Northumberland St # 1, White Haven, PA 18661-1524 2014-04-23
1417295122 Zenia Gimenez Villafuerte Physical Therapist 22 Brookside Dr, White Haven, PA 18661-2724 2013-01-30
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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1053878652 Nicole Gozdan Registered Nurse 304 Woods Rd, Glenside, PA 19038-1429 2019-03-01
1972067460 Ashley Cristiano Registered Nurse 271 Lelia St, Pittsburgh, PA 15211-2329 2019-01-29
1467921015 Francis Chiejine Registered Nurse 6200-b Woodland Ave, 2nd Floor, Philadelphia, PA 19142 2018-11-13
1982111001 Shirley Marie Tolbert Registered Nurse 7111 Jonathan Place, Pittsburgh, PA 15221-2419 2018-01-10
1962915462 Sheri Lynn Davis Registered Nurse 371 Apple St, Fleming, PA 16835-0039 2017-11-07
1275052334 Heather D Lawrence Registered Nurse 440 Entry Rd, Aultman, PA 15713-9601 2017-09-11
1164945838 Kimberly Anne Harvey Registered Nurse 2625 Market Pl Ste 2, Harrisburg, PA 17110-9362 2017-07-25
1013393370 Wayne Wrolstad Registered Nurse 7 Madonna Ln, Broomall, PA 19008-2264 2015-08-09
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Competitor

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City WHITE HAVEN
Zip Code 18661

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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