Individual provider · Type 1 NPI
Crystal Pennino, NP-C
Family Nurse Practitioner · Ketchikan, AK
NPI number
1508372277
Active
Practice location
605 Gateway Ct
Ketchikan, AK 99901-5672
Mailing address
120 Carlanna Lake Rd
Ketchikan, AK 99901-5611
Other practice locations
- 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611
- 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611
- 120 Carlanna Lake Rd, Ketchikan, AK 99901
- 120 Carlanna Lake Rd, Ketchikan, AK 99901
- 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611 · (907) 247-9355
- 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611
- 120 Carlanna Lake Rd, Ketchikan, AK 99901
- 120 Carlanna Lake Rd, Ketchikan, AK 99901
- 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 22403 (AK) |
| Family Nurse Practitioner Primary | 363LF0000X | 166689 (AK) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Ketchikan
- Gabriella Madsen, MSN, RN, FNP-CFamily Nurse Practitioner Ketchikan, AK NPI 1013775410
- Mary Beth Patterson, APRNFamily Nurse Practitioner Ketchikan, AK NPI 1063121259
- Tracy Nicholle Bell, FNP-CFamily Nurse Practitioner Ketchikan, AK NPI 1184233132
- Shawna Strouth-Shaw, NPFamily Nurse Practitioner Ketchikan, AK NPI 1205335809
- Miranda Marshall, FNPFamily Nurse Practitioner Ketchikan, AK NPI 1245876242
- Tammy Lorraine Earnest, FNP-CFamily Nurse Practitioner Ketchikan, AK NPI 1265874655
- Maureen Northway, FNP-CFamily Nurse Practitioner Ketchikan, AK NPI 1295912608
- Amanda E. Hulstine, FNP-CFamily Nurse Practitioner Ketchikan, AK NPI 1306363734
About NPI 1508372277
Crystal Pennino, NP-C's National Provider Identifier is 1508372277, issued on Dec 18, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ketchikan, AK. The record was last updated on Dec 8, 2020.