Individual
MS. LORETTA R PEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC,WHNP
Contact information
Practice address
4530 E RAY RD, 172, PHOENIX, AZ 85044-6094
(480) 759-9191
(480) 759-9105
Mailing address
4622 E SOUTH FORK DR, PHOENIX, AZ 85044-4970
(602) 361-5941
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN042975
AZ
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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