Doctor Name: | LOUISE B PEELE |
NPI Number: | 1588703672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 300014 |
Business Practice Address: | 8282 South Nc 58 Highway Elm City, NC - 278223805 |
Business Phone Number: | 2524437744 |
Business Fax Number: | 2524437611 |
Mailing Address: | 303 Green St E, WILSON |
State: | NC |
Postal Code: | 278934105 |
Phone Number: | 2524437744 |
Fax Number: | 2524437611 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 01/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 300014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |