Individual provider · Type 1 NPI
Penny Mims, CNP
Nurse Practitioner · Ypsilanti, MI
Practice location
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Fax (734) 712-3855
Mailing address
24 Frank Lloyd Wright Dr, PO Box 0446 - Lobby J
Ann Arbor, MI 48105-9484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704180055 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1104369610
Penny Mims, CNP's National Provider Identifier is 1104369610, issued on Dec 1, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ypsilanti, MI. The record was last updated on Dec 1, 2016.