Provider Demographics
NPI:1588703672
Name:PEELE, LOUISE B (PNP)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:B
Last Name:PEELE
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:303 GREEN ST E
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4105
Mailing Address - Country:US
Mailing Address - Phone:252-443-7744
Mailing Address - Fax:252-443-7611
Practice Address - Street 1:8282 SOUTH NC 58 HIGHWAY
Practice Address - Street 2:
Practice Address - City:ELM CITY
Practice Address - State:NC
Practice Address - Zip Code:27822-3805
Practice Address - Country:US
Practice Address - Phone:252-443-7744
Practice Address - Fax:252-443-7611
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC300014363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics