Peggy Kirkwood, RN,NP | |
26800 Crown Valley Pkwy, Suite 120, Mission Viejo, CA 92691-6384 | |
(949) 364-3388 | |
(949) 364-5026 |
Full Name | Peggy Kirkwood |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 26800 Crown Valley Pkwy, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740268721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 459901 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Peggy Kirkwood, RN,NP 26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330 Ph: (949) 282-1671 | Peggy Kirkwood, RN,NP 26800 Crown Valley Pkwy, Suite 120, Mission Viejo, CA 92691-6384 Ph: (949) 364-3388 |
Chelsea Zimmerman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
Jeremy John Christie, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 Phone: 949-276-2111 | |
Diana Joan Munro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27481 Ganso, Mission Viejo, CA 92691 Phone: 949-468-6600 | |
Yi-jywe Cheng, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26611 Lira Cir, Mission Viejo, CA 92691 Phone: 714-907-5108 | |
Ms. Susan T. Manabo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26455 Marsala Way, Mission Viejo, CA 92692 Phone: 949-348-0476 Fax: 213-484-9939 | |
Darolyn Underwood Plant, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23228 Madero, Mission Viejo, CA 92691 Phone: 949-454-3940 | |
Ms. Brendi M Gayle, AG-ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 |