Individual
MRS. CHRISTINA QUEEN PEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3473
(252) 335-0531
Mailing address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3473
(252) 335-0531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
082157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176KU
BLUECROSS BLUESHIELD OF NORTH CAROLINA
NC
05
—
8053641
—
NC
Enumeration date
07/24/2009
Last updated
06/06/2013
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