Individual provider · Type 1 NPI
Penny Lou Phares, ARNP
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Yankeetown, FL
NPI number
1477619377
Active
Practice location
6210 Harmony Ln
Yankeetown, FL 34498-2369
Fax (352) 447-2165
Mailing address
14 Hickory Ave
Yankeetown, FL 34498-2424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | ARNP1239672 (FL) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1477619377
Penny Lou Phares, ARNP's National Provider Identifier is 1477619377, issued on Dec 28, 2006. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Yankeetown, FL. The record was last updated on Jul 9, 2007.