Individual provider · Type 1 NPI
Adina L. Peck, DNP, RN, CNP
Adult Health Nurse Practitioner · St. Louis Park, MN
NPI number
1235493677
Active
Practice location
3931 Louisiana Ave S
St. Louis Park, MN 55426-4375
Mailing address
2540 Lamplighter Ln
Golden Valley, MN 55422-3319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R 144501-7 (MN) |
| Gerontology Nurse Practitioner | 363LG0600X | R 144501-7 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1235493677
Adina L. Peck, DNP, RN, CNP's National Provider Identifier is 1235493677, issued on Jun 29, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 12, 2012.