Individual
MRS. PEGGY LEE TUCKER CAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5301 E HURON RIVER DR, STE C139, YPSILANTI, MI 48197-1051
(734) 712-1000
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 497-9646
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704258557
MI
363LA2200X
Adult Health Nurse Practitioner
4704258557
MI
Other
Enumeration date
11/30/2007
Last updated
04/10/2018
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