Individual provider · Type 1 NPI
Penelope Grace Ruppert
Pediatric Nurse Practitioner · Winnetka, IL
NPI number
1366158529
Active
Practice location
572B Lincoln Ave
Winnetka, IL 60093-2308
Fax (847) 501-4075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209026393 (IL) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Winnetka
About NPI 1366158529
Penelope Grace Ruppert's National Provider Identifier is 1366158529, issued on Jan 30, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Winnetka, IL. The record was last updated on Jan 30, 2023.