Individual provider · Type 1 NPI

Pamela Pecenka, ANP

Nurse Practitioner · Peoria, IL

NPI number 1669418380 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

10335 N Port Washington Rd, 250
Mequon, WI 53092-5763

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669418380

Pamela Pecenka, ANP's National Provider Identifier is 1669418380, issued on Jun 21, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.