Provider Demographics
NPI:1033920574
Name:PEYER, WILLIAM N SR (R N CC M)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:N
Last Name:PEYER
Suffix:SR
Gender:M
Credentials:R N CC M
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:PEYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN CCM
Mailing Address - Street 1:2217 IVY DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-3631
Mailing Address - Country:US
Mailing Address - Phone:361-939-9392
Mailing Address - Fax:
Practice Address - Street 1:10651 E ST BLDG 100
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78419-5130
Practice Address - Country:US
Practice Address - Phone:361-961-6000
Practice Address - Fax:361-961-3501
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX522387163W00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management