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Individual

COLLEEN PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

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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