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NPI Code Detail

MEDICARE: DANIELLE MARIE MCPEAK APRN

MEDICARE: DANIELLE MARIE MCPEAK APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse3007540KY
2363LF0000XFamily Nurse Practitioner3007540KY
3363L00000XNurse Practitioner1114949KY
4363LP0808XPsychiatric/Mental Health Nurse Practitioner3007540KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548516040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARIE MCPEAK APRN
Provider Business Mailing Address
First Line : PO BOX 39597
Second Line :
City : BELFAST
State : ME
Zip : 04915-1249
Country : US
Telephone Number : 859-288-2425
Fax Number : 844-670-2919
Provider Business Practice Location Address
First Line : 496 SOUTHLAND DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-1827
Country : US
Telephone Number : 859-288-2425
Fax Number : 844-670-2919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 01/13/2026

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