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BRENDA PECK
NPI 1154704054
Licensed Practical Nurse in Roseville, MI

Active since July 09, 2015
18621 BLUE ISLAND CT, ROSEVILLE, MI 48066(313) 243-6891 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Brenda Peck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA PECK (NPI 1154704054) is an individual licensed practical nurse in Roseville, Michigan, licensed in Michigan (47031053541) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1154704054
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRENDA PECK
Location Address18621 BLUE ISLAND CTRoseville, MI 48066-2938
Mailing Address18621 Blue Island CtRoseville, MI 48066-2938 · (313) 243-6891
Phone(313) 243-6891
Sole ProprietorNo
Enumeration DateJuly 9, 2015
✔ NPI 1154704054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 47031053541
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
18621 BLUE ISLAND CT, Roseville, MI 48066
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Peck's NPI number?

The NPI number for Brenda Peck is 1154704054. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Brenda Peck located?

Brenda Peck practices at 18621 Blue Island Ct, Roseville, MI 48066. The listed phone number is (313) 243-6891.

What is Brenda Peck's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brenda Peck was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.