Patricia E Penna RN

NPI 1215091012 - Registered Nurse - 163WG0000X

NPI Details
NPI 1215091012
Gender Female
Enumeration Date 12/19/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14 TULIP GROVE DR
LAKE GROVE NY, 11755-1821, US
Phone (631) 981-0704
Fax
Business Location
14 TULIP GROVE DR
LAKE GROVE NY, 11755-1821, US
Phone (631) 981-0704
Fax
Toxanomy
Taxonomy Code 163WG0000X
License State New York
License Number 371523-1
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According to our database, Patricia E Penna RN NPI is 1215091012, taxonomy code is 163WG0000X and license number is 371523-1, license state is located at New York. Patricia E Penna RN physically located at 14 Tulip Grove Dr, Lake Grove NY, 11755-1821. NPI Number Patricia E Penna RN has the Individual type.

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1215091012 NPI number is provided on an as is basis without warranty of any kind. 1215091012 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia E Penna RN are for informational purposes only.