Individual
JOAN MARIE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6100 PAN AMERICAN FREEWAY NE STE 450, ALBUQUERQUE, NM 87109-3460
(505) 823-8787
(505) 823-8788
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP01354
NM
364SW0102X
Women's Health Clinical Nurse Specialist
R56766
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000271730
—
NM
05
—
66175526
—
CO
Enumeration date
09/22/2005
Last updated
03/17/2018
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