MS. EARLENE JANE PECKHAM APRNCPNPMSN NPI 1619901535

NPI Information

NPI: 1619901535
Provider Name: MS. EARLENE JANE PECKHAM, APRN,CPNP,MSN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
191 FOUNTAIN ST
NEW HAVEN, CT
ZIP 06515
Phone: (203) 946-6606
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MS. Earlene Jane Peckham, APRN,CPNP,MSN is a pediatrics nurse practitioner in New Haven, CT. MS. Earlene Jane Peckham, APRN,CPNP,MSN NPI is 1619901535. 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:

191 FOUNTAIN ST
NEW HAVEN, CT
ZIP 06515-901
Phone: (203) 946-6606
Fax: (203) 946-6637

The enumeration date for this NPI number is 7/10/2006 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	000425	CONNECTICUT	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: 4/28/2024

NPI Synchronization or Removal

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