Provider Demographics
NPI:1154166130
Name:SINGER, PEGGY LYNN (RN)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:LYNN
Last Name:SINGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 S LOS LENTES RD
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-6851
Mailing Address - Country:US
Mailing Address - Phone:505-859-5063
Mailing Address - Fax:
Practice Address - Street 1:1619 W DELGADO AVE
Practice Address - Street 2:
Practice Address - City:BELEN
Practice Address - State:NM
Practice Address - Zip Code:87002-2899
Practice Address - Country:US
Practice Address - Phone:505-966-1306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR44814163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool