Individual
DESIREE PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2695 SLOPE HILL RD, MT PLEASANT, PA 15666-8975
(724) 984-7290
Mailing address
2695 SLOPE HILL RD, MT PLEASANT, PA 15666-8975
(724) 984-7290
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN258043L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN258043L
PA NURSING LICENSE
PA
Enumeration date
08/22/2007
Last updated
06/19/2012
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