Individual provider · Type 1 NPI

Kazell Ann Penalosa, FNP-BC

Nurse Practitioner · Cornwall, NY

NPI number 1215695077 Active

Practice location

19 Laurel Ave
Cornwall, NY 12518-1403

Mailing address

157 Sickles Ave
Nyack, NY 10960-1829

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X684065 (NY)
Nurse Practitioner Primary 363L00000X347643 (NY)

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 1215695077

Kazell Ann Penalosa, FNP-BC's National Provider Identifier is 1215695077, issued on Nov 29, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cornwall, NY. The record was last updated on Nov 29, 2021.