Individual
RACHEL ANN PECKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 W ROSS ST, TROY, OH 45373-3931
(937) 216-2501
Mailing address
1565 HAWK CIR APT C, TROY, OH 45373-4722
(937) 216-2501
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN.147070-M-IV
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0035065
OH
Other
Enumeration date
07/22/2013
Last updated
02/29/2024
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