Individual provider · Type 1 NPI
Henry Junior Pena, DNP, AGNP-C
Adult Health Nurse Practitioner · Grand Rapids, MI
NPI number
1750100442
Active
Practice location
2060 Division Ave S
Grand Rapids, MI 49507-3029
Mailing address
3330 Hillcroft Ave SW
Grand Rapids, MI 49548-2148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG07240076 (MI) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AG07240076 (MI) |
| Registered Nurse | 163W00000X | 4704238185 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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- Brittany J. Devries, AGNPAdult Health Nurse Practitioner Grand Rapids, MI NPI 1104429851
About NPI 1750100442
Henry Junior Pena, DNP, AGNP-C's National Provider Identifier is 1750100442, issued on Oct 9, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 18, 2024.