Individual provider · Type 1 NPI
Kelly Teresa Peck, NP-C
Primary Care Nurse Practitioner · Palm Desert, CA
NPI number
1235856071
Active
Practice location
36921 Cook St Ste 102
Palm Desert, CA 92211-6070
Mailing address
2193 E Del Lago Rd
Palm Springs, CA 92262-2511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95022984 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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- Suzonne M. Windham, NPFPrimary Care Nurse Practitioner Palm Desert, CA NPI 1679926208
- Joann McRae Ball, NPPrimary Care Nurse Practitioner Palm Desert, CA NPI 1922634351
About NPI 1235856071
Kelly Teresa Peck, NP-C's National Provider Identifier is 1235856071, issued on Oct 24, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Palm Desert, CA. The record was last updated on Oct 24, 2022.