Individual provider · Type 1 NPI
John Percival Pena, ANP-BC, GNP, RN-BSN
Adult Health Nurse Practitioner · New York, NY
NPI number
1124366224
Active
Practice location
1 Gustave L Levy Pl
New York, NY 10029-6500
Mailing address
175 E 93rd St Apt 2D
New York, NY 10128-3980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F306047-1 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | F340844-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124366224
John Percival Pena, ANP-BC, GNP, RN-BSN's National Provider Identifier is 1124366224, issued on Jan 23, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jan 23, 2013.