Individual
CRAIG PEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
801 W GARDNER DR, MARION, IN 46952-1819
(765) 651-4278
Mailing address
4189 N 300 E, MARION, IN 46952-6816
(765) 661-3761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28162730A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
28162730A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28162730A
STATE OF INDIANA
IN
01
—
71010084A
STATE BOARD OF NURSING
IN
01
—
F05200239
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
—
Enumeration date
04/24/2020
Last updated
06/09/2020
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