Nicole Penke MD

NPI 1356530331 - Internal Medicine - 207R00000X

NPI Details
NPI 1356530331
Gender Female
Enumeration Date 10/16/2007
Last Updated 07/21/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
8140 ASHTON AVE STE 120
MANASSAS VA, 20109-5699, US
Phone (703) 361-3128
Fax
Business Location
1660 N QUINN ST
ARLINGTON VA, 22209-2817, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Ohio
License Number 57013584
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According to our database, Nicole Penke MD NPI is 1356530331, taxonomy code is 207R00000X and license number is 57013584, license state is located at Ohio. Nicole Penke MD physically located at 8140 Ashton Ave Ste 120, Manassas VA, 20109-5699. NPI Number Nicole Penke MD has the Individual type.

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1356530331 NPI number is provided on an as is basis without warranty of any kind. 1356530331 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Penke MD are for informational purposes only.