Individual
MELINDA PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N UNIVERSITY ST, MURFREESBORO, TN 37130-3931
(615) 893-2602
Mailing address
420 N UNIVERSITY ST, MURFREESBORO, TN 37130-3931
(615) 893-2602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN5433
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3648123
—
TN
Enumeration date
07/07/2006
Last updated
07/08/2007
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