Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 199886 | NC |
NPI | 1013099704 |
---|---|
Provider Name | Ms. Peggy M Bintz |
First Address | Hendersonville, NC 28739-4216 |
Second Address | Hendersonville, NC 28739-4216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 20/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2592478B | MEDICARE PTAN (01) | NC |
6005048 | (05) | NC |
NCMC038081 | (05) | NC |