PEGGY ANN UNDERWOOD LPN
NPI 1205062056
Licensed Practical Nurse in Schuylkill Haven, PA

Q: What is Peggy Underwood's NPI number?

The NPI number for Peggy Underwood is 1205062056. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Q: What is Peggy Underwood's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Peggy Underwood was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2009

223 ROUTE 61 S, SCHUYLKILL HAVEN, PA 17972(570) 385-8450(570) 385-8451 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Peggy Ann Underwood Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEGGY ANN UNDERWOOD LPN (NPI 1205062056) is an individual licensed practical nurse in Schuylkill Haven, Pennsylvania, licensed in Pennsylvania (PN055030L) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1205062056

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NamePEGGY ANN UNDERWOODCredential: LPN

Location Address223 ROUTE 61 SSchuylkill Haven, PA 17972-9704

Mailing Address69 Longview DrSchuylkill Haven, PA 17972-1817 · (570) 385-8450 · Fax (570) 385-8451

Phone(570) 385-8450

Fax(570) 385-8451

Sole ProprietorNo

Enumeration DateJune 8, 2009

✔ NPI 1205062056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in PA · PN055030L

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

223 ROUTE 61 S, Schuylkill Haven, PA 17972

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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