| Doctor Name: | MRS. PATRICIA ANN PECK |
| NPI Number: | 1013151778 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN, CCM |
| License Number: | RN164782 |
| Business Practice Address: | 5588 Heather Hill Dr Mentor, OH - 440601758 |
| Business Phone Number: | 4402578036 |
| Business Fax Number: | 4402578036 |
| Mailing Address: | 5588 Heather Hill Dr, MENTOR |
| State: | OH |
| Postal Code: | 440601758 |
| Phone Number: | 4402578036 |
| Fax Number: | 4402578036 |
| NPI Enumeration Date: | 04/26/2009 |
| NPI Last Update Date: | 04/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | RN164782 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |