Individual provider · Type 1 NPI
Susan D. Peck, RN, PhD, GNP-BC
Gerontology Nurse Practitioner · Eau Claire, WI
NPI number
1104813179
Active
Practice location
2130 Brackett Ave Ste B
Eau Claire, WI 54701-4928
Fax (715) 895-8573
Mailing address
1417 Wilson St
Eau Claire, WI 54701-4808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 325-033 (WI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1104813179
Susan D. Peck, RN, PhD, GNP-BC's National Provider Identifier is 1104813179, issued on Oct 4, 2005. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Eau Claire, WI. The record was last updated on Mar 11, 2019.