ROBERT WAYNE PECK LPN
NPI 1740055805
Licensed Practical Nurse in Mount Vernon, WA

Q: What is Robert Peck's NPI number?

The NPI number for Robert Peck is 1740055805. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Q: What is Robert Peck's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Peck was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 20, 2023

1315 E DIVISION ST, MOUNT VERNON, WA 98274(360) 734-5410(360) 816-1652 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Robert Wayne Peck Lpn NPPES

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

ROBERT WAYNE PECK LPN (NPI 1740055805) is an individual licensed practical nurse in Mount Vernon, Washington, licensed in Washington (LP00046874) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1740055805

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameROBERT WAYNE PECKCredential: LPN

Location Address1315 E DIVISION STMount Vernon, WA 98274-4134

Mailing Address1315 E Division StMount Vernon, WA 98274-4134 · (360) 734-5410 · Fax (360) 816-1652

Phone(360) 734-5410

Fax(360) 816-1652

Sole ProprietorNo

Enumeration DateNovember 20, 2023

NPPES CertifiedNovember 19, 2023

✔ NPI 1740055805 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 WA · LP00046874

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.

1315 E DIVISION ST, Mount Vernon, WA 98274

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Other Providers at the Same Location NPPES 14

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

DAVID C. MORRIS M.D.

Specialist