Individual
DONNA J PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2405 W 60TH DR, MERRILLVILLE, IN 46410-2143
(219) 689-5959
Mailing address
2405 W 60TH DR, MERRILLVILLE, IN 46410-2143
(219) 689-5959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03200348
IN
Other
Enumeration date
03/13/2020
Last updated
03/22/2020
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