Susan N Peck, CRNP
Nurse Practitioner, Pediatrics in Philadelphia, PA. Individual provider (NPI-1).
NPI number1457486342
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457486342
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan N Peck
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | SP001169D | PA | Yes |
Practice location
34th And Civic Center Blvd.Philadelphia, PA 19104
Phone 214-490-3634 · Fax 215-590-3680
Mailing address
649 Sussex RdWynnewood, PA 19096-2204
Phone 610-649-6495
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All 607 Pediatric Nurse Practitioner providers in Philadelphia · All 53,595 providers in Philadelphia
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