Molly Marie Peck
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
1202 S Tyler St
Covington
, Louisiana 70433-2330
Molly Marie Peck
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
1202 S Tyler St
Covington
, Louisiana 70433-2330
(985) 750-1973
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Molly Marie Peck
- 409 Brown Thrasher Loop S
- Madisonville, LA
- Zip : 70447-3046
- Phone : (985) 750-1973
Second Address
- Molly Marie Peck
- 1202 S Tyler St
- Covington, LA
- Zip : 70433-2330
- Phone : (985) 898-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 219190 | LA |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 219190 | LA |
National Provider Identifier
| NPI | 1548849680 |
|---|---|
| Provider Name | Molly Marie Peck |
| First Address | Madisonville, LA 70447-3046 |
| Second Address | Covington, LA 70433-2330 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.