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Individual
ELAINE PEACOCK
Active
Individual
ELAINE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
02282
NM
363LF0000X
Family Nurse Practitioner
Primary
ARNP9455285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21528365
—
NM
01
—
NPI & TIN
BCBS OF NM
NM
Enumeration date
01/07/2015
Last updated
04/10/2017
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