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NPI Code Detail

MEDICARE: ANNE ELIZABETH PEICK NP

MEDICARE: ANNE ELIZABETH PEICK NP
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
1363L00000XNurse Practitioner79134NM

General Provider Information

NPI Number : 1851103139
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE ELIZABETH PEICK NP
Provider Business Mailing Address
First Line : 3917 WEST RD STE A
Second Line :
City : LOS ALAMOS
State : NM
Zip : 87544-2292
Country : US
Telephone Number : 651-238-1918
Fax Number :
Provider Business Practice Location Address
First Line : 3917 WEST RD STE A
Second Line :
City : LOS ALAMOS
State : NM
Zip : 87544-2292
Country : US
Telephone Number : 505-661-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2025
Last Update Date : 12/09/2025

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Directions to “ ANNE ELIZABETH PEICK NP” Practice Location

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