NPI 1154704054
Brenda Peck
Practice location
- Address
- 18621 Blue Island CT, Roseville, MI 48066-2938
- Phone
- (313) 243-6891
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1154704054
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jul 2015
- Record last updated
- 9 Jul 2015
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.