Deborah Sue Peshka in Grand Rapids - Nurse Practitioner
Deborah Sue Peshka - NPI 1386794022
Deborah Sue Peshka is a Nurse Practitioner in Grand Rapids, Michigan. Deborah Sue Peshka practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Deborah Sue Peshka is 1386794022. The last update date is 2021-10-01.
Deborah Sue Peshka's current location address is 2902 Bradford St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6168855200. The mailing address for Deborah Sue Peshka is 2902 Bradford St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Sue Peshka |
|---|---|
| Address | 2902 Bradford St Ne, Grand Rapids, Michigan |
| Phone Number | 6168855200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1386794022 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2021-10-01 |
Provider Mailing Address Detail
| Address | 2902 Bradford St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256427 |
| Phone Number | 6168855200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704118417 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Deborah Sue Peshka by the Centers for Medicare & Medicaid Services?
The Deborah Sue Peshka has been assigned the NPI (National Provider Identifier) 1386794022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Deborah Sue Peshka's physical address?
The Deborah Sue Peshka is physically located at 2902 Bradford St Ne, in the city of Grand Rapids, MI, with the postal code 495256427.
What is Deborah Sue Peshka's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Deborah Sue Peshka is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386794022 to Deborah Sue Peshka?
The Centers for Medicare & Medicaid Services originally issued the 1386794022 to Deborah Sue Peshka on 2007-01-12.
As of what date were the Deborah Sue Peshka's details last updated?
The information pertaining to the Deborah Sue Peshka, including its address, specialty, and other details, was most recently updated on 2021-10-01.
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