MS. SUSAN N PECK CRNP NPI 1457486342

NPI Information

NPI: 1457486342
Provider Name: MS. SUSAN N PECK, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
34TH AND CIVIC CENTER BLVD.
PHILADELPHIA, PA
ZIP 19104
Phone: (214) 490-3634
Get Directions

MS. Susan N Peck, CRNP is a pediatrics nurse practitioner in Philadelphia, PA. MS. Susan N Peck, CRNP NPI is 1457486342. 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:

34TH AND CIVIC CENTER BLVD.
PHILADELPHIA, PA
ZIP 19104
Phone: (214) 490-3634
Fax: (215) 590-3680

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/8/2007.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	SP001169D	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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