Individual provider · Type 1 NPI

Deborah Sue Peshka, N.P.

Nurse Practitioner · Grand Rapids, MI

NPI number 1386794022 Active

Practice location

2902 Bradford St NE
Grand Rapids, MI 49525-6427

Call (616) 885-5200 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704118417 (MI)
Adult Health Nurse Practitioner 363LA2200X4704118417 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386794022

Deborah Sue Peshka, N.P.'s National Provider Identifier is 1386794022, issued on Jan 12, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 1, 2021.