Individual provider · Type 1 NPI
Penni Lane Exton, RN
Wound Care Registered Nurse · Momence, IL
NPI number
1417628249
Active
Practice location
424 N Locust St
Momence, IL 60954-1236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse Primary | 163WW0000X | 04148062 (IL) |
Wound Care Registered Nurse: Definition to come...
About NPI 1417628249
Penni Lane Exton, RN's National Provider Identifier is 1417628249, issued on Sep 22, 2021. The primary taxonomy on file is Wound Care Registered Nurse (163WW0000X), and the practice location is in Momence, IL. The record was last updated on Sep 22, 2021.