Individual provider · Type 1 NPI

Penny Rea, NP-C

Primary Care Nurse Practitioner · Nampa, ID

NPI number 1851832695 Active

Practice location

5307 Green Valley Pl
Nampa, ID 83686-5790

Call (208) 899-7105 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X55370 (ID)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1851832695

Penny Rea, NP-C's National Provider Identifier is 1851832695, issued on Mar 13, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Nampa, ID. The record was last updated on Mar 13, 2017.