Most Relevant Information
Provider Data
| NPI Number: | 1003223678 |
| Provider Name: | GINA PEEK APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 76135 |
Most Important Dates
| Enumeration Date: | 07/16/2014 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
1418 S MAIN ST STE 5
OTTAWA
KS
660673544
Practice Location Phone/Fax
| Phone: | 7852421620 |
| Fax: |
Provider Mailing Location
1418 S MAIN ST STE 5
OTTAWA
KS
660673544
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |