MS. SUSAN N PECK CRNP
NPI 1457486342
Nurse Practitioner - Pediatrics in Philadelphia, PA

Q: What is Susan Peck's NPI number?

The NPI number for Susan Peck is 1457486342. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is Susan Peck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Susan Peck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 22, 2007

34TH AND CIVIC CENTER BLVD., PHILADELPHIA, PA 19104(214) 490-3634(215) 590-3680 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Susan N Peck Crnp NPPES

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

MS. SUSAN N PECK CRNP (NPI 1457486342) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP001169D) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1457486342

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. SUSAN N PECKCredential: CRNP

Location Address34TH AND CIVIC CENTER BLVD.Philadelphia, PA 19104

Mailing Address649 Sussex RdWynnewood, PA 19096-2204 · (610) 649-6495

Phone(214) 490-3634

Fax(215) 590-3680

Sole ProprietorYes

Enumeration DateFebruary 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1457486342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in PA · SP001169D

34TH AND CIVIC CENTER BLVD., Philadelphia, PA 19104

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH HANSON CRNP

Nurse Practitioner (Pediatrics)

34TH AND CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-3481

MRS. SANDRA JANE KALAMAR

Nurse Practitioner (Pediatrics)

34TH AND CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-7099

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 Susan Peck's NPI number?

The NPI number for Susan Peck is 1457486342. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Susan Peck located?

Susan Peck practices at 34th And Civic Center Blvd., Philadelphia, PA 19104. The listed phone number is (214) 490-3634.

What is Susan Peck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Susan Peck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.