Individual provider · Type 1 NPI
Earlene Jane Peckham, APRN, CPNP, MSN
Pediatric Nurse Practitioner · New Haven, CT
NPI number
1619901535
Active
Practice location
191 Fountain St
New Haven, CT 06515-1901
Fax (203) 946-6637
Mailing address
658 Chestnut Ridge Rd
Orange, CT 06477-2029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 000425 (CT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1619901535
Earlene Jane Peckham, APRN, CPNP, MSN's National Provider Identifier is 1619901535, issued on Jul 10, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2007.