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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUSAN D PECK, RN, PHD, GNP-BC

Active Sole Proprietor

DR. SUSAN D PECK, RN, PHD, GNP-BC is a Gerontological Nurse Practitioner healthcare provider located in EAU CLAIRE, Wisconsin. NPI 1104813179 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · EAU CLAIRE, WI

Registration Details

NPI Number
1104813179
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2005 (20.816580726276 yrs)
Last Updated
Mar 11, 2019
License
325-033 (WI)
Sole Proprietor
Yes

Practice Information

Address
2130 BRACKETT AVE STE B
EAU CLAIRE, WI, 547014928
Browse WI providers · Browse ZIP 54701
Phone
7158958571
Fax
7158958573
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in EAU CLAIRE, WI

Name Credential NPI
JENNIFER A INSTENESS NP 1801836820
ANN GORDON G.N.P. 1245776731
BROOK LEAH STEELE DNP, NP-C 1427531912
DEBRA CALLOW NP 1831742972
CHEYENNE THERESE MADORIN AGACNP-BC 1801495999
AMANDA BISCHEL AGPC-NP 1225783749
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.