Individual provider · Type 1 NPI

Samantha Pennepacker, PA-C

Medical Physician Assistant · Broomall, PA

NPI number 1366984775 Active

Practice location

2004 Sproul Rd
Broomall, PA 19008-3511

Mailing address

PO Box 34990
Belfast, ME 04915-0627

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA058738 (PA)

Medical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1366984775

Samantha Pennepacker, PA-C's National Provider Identifier is 1366984775, issued on Nov 16, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Broomall, PA. The record was last updated on Jun 4, 2024.