Individual
COLLEEN PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1225 4TH ST NE, WASHINGTON, DC 20002-3431
(202) 347-8512
Mailing address
1225 4TH ST NE, WASHINGTON, DC 20002-3431
(202) 347-8500
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
024184601
VA
176B00000X
Midwife
CNM200004151
DC
176B00000X
Midwife
Primary
F001597
NY
176B00000X
Midwife
R167646
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03924807
—
NY
Enumeration date
02/27/2014
Last updated
03/20/2025
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