Whalio Doctors

NPI 1154704054

Brenda Peck

Practitioner Licensed Practical Nurse Roseville, MI

Practice location

Address
18621 Blue Island CT, Roseville, MI 48066-2938
Phone
(313) 243-6891

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 47031053541 (MI)

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.