Individual
MS. EARLENE JANE PECKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,CPNP,MSN
Contact information
Practice address
191 FOUNTAIN ST, NEW HAVEN, CT 06515-1901
(203) 946-6606
(203) 946-6637
Mailing address
658 CHESTNUT RIDGE RD, ORANGE, CT 06477-2029
(203) 387-9967
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000425
CT
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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