Provider Demographics
NPI:1801695036
Name:HANK, PEGGY J
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:J
Last Name:HANK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56741 862ND RD
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:NE
Mailing Address - Zip Code:68723-2335
Mailing Address - Country:US
Mailing Address - Phone:402-369-2646
Mailing Address - Fax:
Practice Address - Street 1:56741 862ND RD
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:NE
Practice Address - Zip Code:68723-2335
Practice Address - Country:US
Practice Address - Phone:402-369-2646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion