Individual provider · Type 1 NPI
Sean Penaranda, PA-C
Surgical Physician Assistant · Waunakee, WI
NPI number
1184940892
Active
Practice location
1009 Stanford Dr
Waunakee, WI 53597-1565
Other practice locations
- 1009 Stanford Dr, Waunakee, WI 53597 · (813) 924-7096
- 1120 Eastwood Lane, Fairbanks, AK 99712 · (907) 353-1341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | 4953-23 (WI) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Waunakee
About NPI 1184940892
Sean Penaranda, PA-C's National Provider Identifier is 1184940892, issued on Apr 20, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waunakee, WI. The record was last updated on Jul 25, 2023.