OPAL PEGGYSUE FELL

COTTON ONEIL CLINIC REVOCABLE TRUST

Dr OPAL PEGGYSUE FELL is a female medical professional, specializing in Nurse Practitioner. She graduated in 2010.

Contact

COTTON ONEIL CLINIC REVOCABLE TRUST

1301 W 12TH AVE
SUITE 401
EMPORIA
KS
668012591

Tel: 6203432900

OPAL PEGGYSUE FELL Information

Npi 1205140621
Pac Id 6002037330
Professional Enrollment Id I20141029001857
Last Name FELL
First Name OPAL PEGGYSUE
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COTTON ONEIL CLINIC REVOCABLE TRUST
Group Practice Pac Id 5496659195
Number Of Group Practice Members 504
Line 1 Street Address 1301 W 12TH AVE
Line 2 Street Address SUITE 401
Marker Of Address Line 2 Suppression
City EMPORIA
State KS
Zip Code 668012591
Phone Number 6203432900
Hospital Affiliation Ccn 1 171384
Hospital Affiliation Lbn 1 NEWMAN REGIONAL HEALTH
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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