Individual
DONNA PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3800 RIDGEWAY DR, BIRMINGHAM, AL 35209-5506
(205) 868-2000
Mailing address
PO BOX 59424, BIRMINGHAM, AL 35259-9424
(256) 404-6832
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-106015
AL
Other
Enumeration date
11/16/2015
Last updated
01/15/2019
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