Individual provider · Type 1 NPI
Penny Sue Wallman
Primary Care Nurse Practitioner · Bronson, MI
NPI number
1346698941
Active
Practice location
735 E Chicago St
Bronson, MI 49028-1349
Fax (517) 858-1403
Mailing address
677 E Main St
Centreville, MI 49032-8524
Other practice locations
- 677 E Main St, Centreville, MI 49032-8524 · (269) 467-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704167228 (MI) |
| Registered Nurse | 163W00000X | 28167664A (IN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704167228 (MI) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1346698941
Penny Sue Wallman's National Provider Identifier is 1346698941, issued on May 25, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bronson, MI. The record was last updated on Feb 2, 2024.