Individual provider · Type 1 NPI
Mary Lou Peck, FNP
Family Nurse Practitioner · Averill Park, NY
NPI number
1174759534
Active
Practice location
196 Vosburgh Rd
Averill Park, NY 12018-5710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F3308081 (NY) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Averill Park
About NPI 1174759534
Mary Lou Peck, FNP's National Provider Identifier is 1174759534, issued on May 29, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Averill Park, NY. The record was last updated on May 29, 2009.