Provider Demographics
NPI:1902966831
Name:DUNNIGAN, PEGGY (RN)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:DUNNIGAN
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 1:909 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LANGDON
Mailing Address - State:ND
Mailing Address - Zip Code:58249-2407
Mailing Address - Country:US
Mailing Address - Phone:701-256-6100
Mailing Address - Fax:701-256-2170
Practice Address - Street 1:909 2ND ST
Practice Address - Street 2:
Practice Address - City:LANGDON
Practice Address - State:ND
Practice Address - Zip Code:58249-2407
Practice Address - Country:US
Practice Address - Phone:701-256-6100
Practice Address - Fax:701-256-2170
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND23376OtherBCBS PROVIDER NUMBER