Individual
PATRICIA PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 GIBSON ST NW, LEESBURG, VA 20176-2122
(703) 396-6197
(703) 779-1372
Mailing address
209 GIBSON ST NW, LEESBURG, VA 20176-2122
(703) 396-6197
(703) 779-1372
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024088367
VA
363LF0000X
Family Nurse Practitioner
0024088367
VA
Other
Enumeration date
10/12/2005
Last updated
12/23/2008
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