PEGGY ROSE RN FNP NPI 1811396963

NPI Information

  • NPI: 1811396963
  • Provider Name: PEGGY ROSE, RN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 809 STATE ST
    SUITE 401A
    LA PORTE, IN
    ZIP 46350
  • Phone: (219) 326-6808

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NPI Details

Peggy Rose, RN, FNP is a family nurse practitioner in La Porte, IN. Peggy Rose, RN, FNP NPI is 1811396963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

809 STATE ST
SUITE 401A
LA PORTE, IN
ZIP 46350-390
Phone: (219) 326-6808

The enumeration date for this NPI number is 8/14/2014 and was last updated on 8/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71001276AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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