Individual
JOANNE PEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 SUNSET LN, SUITE 2210, CULPEPER, VA 22701-3376
(540) 825-6100
(540) 825-1829
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024040796
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010120659
—
VA
01
—
P00130768
MEDICARE RAILROAD
VA
Enumeration date
06/02/2006
Last updated
03/29/2013
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