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Danette Pengilly, GNP-C
Gerontology Nurse Practitioner in Bismarck, North Dakota
NPI 1013016989

Danette Pengilly is a Gerontology Nurse Practitioner based in Bismarck, ND and is specialized in Gerontology. Danette Pengilly practices in Bismarck, ND and has the professional credentials of GNP-C. The NPI Number for Danette Pengilly is 1013016989 and holds a License No. R23780 (North Dakota).

The current practice location address for Danette Pengilly is 310 N 10Th St, Bismarck, ND and can be reached out via phone at 701-530-7500 and via fax at 701-530-7484. You can also correspond with Danette Pengilly through the mailing address at 310 N 10TH ST, BISMARCK, ND - 58501-4516 (mailing address contact number: 701-530-7500).

Location: 310 N 10Th St, Bismarck, ND, 58501-4516
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Provider Profile Details
NPI Number
1013016989
Provider Name
Danette Pengilly
Credential
GNP-C
Provider Entity Type
Individual
Gender
Female
Address
310 N 10Th St, Bismarck, ND, 58501-4516
Phone Number
701-530-7500
Fax Number
701-530-7484
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013016989 01 NPI
P00209023 01 ND RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
310 N 10Th St
City
State
Zip
58501-4516
Phone Number
701-530-7500
Fax Number
701-530-7484
person
Provider Business Mailing Address Details
Address
310 N 10Th St
City
State
Zip
58501-4516
Phone Number
701-530-7500
Fax Number
701-530-7484
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R23780 (North Dakota)
Definition
Definition to come...
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