| Doctor Name: | DR. ADINA L PECK |
| NPI Number: | 1235493677 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, RN, CNP |
| License Number: | R 144501-7 |
| Business Practice Address: | 3931 Louisiana Ave S Saint Louis Park, MN - 554264375 |
| Business Phone Number: | 9529933248 |
| Business Fax Number: | |
| Mailing Address: | 2540 Lamplighter Ln, GOLDEN VALLEY |
| State: | MN |
| Postal Code: | 554223319 |
| Phone Number: | 7635443731 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2012 |
| NPI Last Update Date: | 07/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | R 144501-7 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |