Andrea Fannika Penister RN

NPI 1427374156 - Registered Nurse - 163W00000X

NPI Details
NPI 1427374156
Gender Female
Enumeration Date 04/20/2010
Last Updated 04/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5742 W ROOSEVELT DR
MILWAUKEE WI, 53216-3156, US
Phone (414) 248-8625
Fax
Business Location
5742 W ROOSEVELT DR
MILWAUKEE WI, 53216-3156, US
Phone (414) 248-8625
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Wisconsin
License Number 152943-30
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According to our database, Mrs. Andrea Fannika Penister RN NPI is 1427374156, taxonomy code is 163W00000X and license number is 152943-30, license state is located at Wisconsin. Andrea Fannika Penister RN physically located at 5742 W Roosevelt Dr, Milwaukee WI, 53216-3156. NPI Number Andrea Fannika Penister RN has the Individual type.

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1427374156 NPI number is provided on an as is basis without warranty of any kind. 1427374156 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Fannika Penister RN are for informational purposes only.