Individual provider · Type 1 NPI
Patricia E. Penna, RN
General Practice Registered Nurse · Lake Grove, NY
NPI number
1215091012
Active
Practice location
14 Tulip Grove Dr
Lake Grove, NY 11755-1821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 371523-1 (NY) |
General Practice Registered Nurse: Definition to come...
About NPI 1215091012
Patricia E. Penna, RN's National Provider Identifier is 1215091012, issued on Dec 19, 2006. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Lake Grove, NY. The record was last updated on Jul 9, 2007.