Individual
MRS. TERI S. PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
42 N SAINT JOSEPH AVE, 101, NILES, MI 49120-2203
(269) 684-6697
(269) 684-5286
Mailing address
42 N SAINT JOSEPH AVE, 101, NILES, MI 49120-2203
(269) 684-6697
(269) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704246990
MI
363LA2200X
Adult Health Nurse Practitioner
71002118A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700836699
—
MI
Enumeration date
05/11/2006
Last updated
08/21/2014
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