Individual
DR. ADINA L PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CNP
Contact information
Practice address
3931 LOUISIANA AVE S, SAINT LOUIS PARK, MN 55426-4375
(952) 993-3248
Mailing address
2540 LAMPLIGHTER LN, GOLDEN VALLEY, MN 55422-3319
(763) 544-3731
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 144501-7
MN
363LG0600X
Gerontology Nurse Practitioner
R 144501-7
MN
Other
Enumeration date
06/29/2012
Last updated
07/12/2012
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