Individual
VICTORIA PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6455 POPLAR AVE, APT 302, MEMPHIS, TN 38119-4875
(440) 915-8269
Mailing address
6455 POPLAR AVE, APT 302, MEMPHIS, TN 38119-4875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9464056
FL
Other
Enumeration date
03/28/2017
Last updated
07/17/2017
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