NPI 1003593146

Courtney Cassandra Peck, FNPBC

Practitioner Family Nurse Practitioner Albany, NY

Practice location

Address: 6 Executive Park Dr, Albany, NY 12203-3791
Phone: (518) 641-6319
Fax: (518) 641-6850
Mailing address: 711 Troy Schenectady Rd STE 203, Latham, NY 12110-2461

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence F352308 (NY)

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Registry record

NPI: 1003593146
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2023
Record last updated: 30 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.