1205037157 NPI number — KATHERINE PECK LOUISE PECK RN, CNS, PNP

Table of content: KATHERINE PECK LOUISE PECK RN, CNS, PNP (NPI 1205037157)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205037157 NPI number — KATHERINE PECK LOUISE PECK RN, CNS, PNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PECK
Provider First Name:
KATHERINE PECK
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, CNS, PNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205037157
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11904 SOLEDAD CANYON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS CRUCES
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
88011-8331
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-521-3911
Provider Business Mailing Address Fax Number:
505-646-2167

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1850 COPPER LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS CRUCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88005-8139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-647-7642
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/29/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  R48558 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)