Individual provider · Type 1 NPI

Colleen Marie Pennica

Licensed Practical Nurse · Manorville, NY

NPI number 1679720833 Active

Practice location

2 Rosemary Ct
Manorville, NY 11949-2818

Call (631) 281-4435 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X172851-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1679720833

Colleen Marie Pennica's National Provider Identifier is 1679720833, issued on Aug 19, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Manorville, NY. The record was last updated on Aug 19, 2008.