Provider Demographics
NPI:1376834499
Name:PAIS, PEGGY (RN, MSN, CNS-BC,APRN)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:PAIS
Suffix:
Gender:F
Credentials:RN, MSN, CNS-BC,APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 FM 1431
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-4954
Mailing Address - Country:US
Mailing Address - Phone:512-588-8197
Mailing Address - Fax:830-201-4092
Practice Address - Street 1:1706 FM 1431
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-4954
Practice Address - Country:US
Practice Address - Phone:512-588-8197
Practice Address - Fax:830-201-4092
Is Sole Proprietor?:No
Enumeration Date:2011-04-23
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP120110364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health