Individual provider · Type 1 NPI

Molly Marie Peck

Acute Care Nurse Practitioner · Covington, LA

NPI number 1548849680 Active

Practice location

1202 S Tyler St
Covington, LA 70433-2330

Mailing address

409 Brown Thrasher Loop S
Madisonville, LA 70447-3046

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner 363LC0200X219190 (LA)
Acute Care Nurse Practitioner Primary 363LA2100X219190 (LA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1548849680

Molly Marie Peck's National Provider Identifier is 1548849680, issued on Apr 6, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Covington, LA. The record was last updated on Apr 6, 2021.