Individual provider · Type 1 NPI
Danette Pengilly, GNP-C
Gerontology Nurse Practitioner · Bismarck, ND
NPI number
1013016989
Active
Practice location
310 N 10th St
Bismarck, ND 58501-4516
Fax (701) 530-7484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | R23780 (ND) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1013016989
Danette Pengilly, GNP-C's National Provider Identifier is 1013016989, issued on Sep 21, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bismarck, ND. The record was last updated on Feb 29, 2008.