Provider Demographics
NPI:1285043851
Name:PEKU, BEATRICE KHATTI (DNP, APRN)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:KHATTI
Last Name:PEKU
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 ASPEN GLEN DR
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3786
Mailing Address - Country:US
Mailing Address - Phone:908-510-9076
Mailing Address - Fax:860-384-7787
Practice Address - Street 1:98 ELM ST STE 2
Practice Address - Street 2:SUITE 2
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2868
Practice Address - Country:US
Practice Address - Phone:860-384-7787
Practice Address - Fax:860-384-7787
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7960363LP0808X, 363LF0000X
TXAP126187363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily