person
Dr. Pennie Elizabeth Bucilla, APRNCNP
Psychiatric/Mental Health Nurse Practitioner in Burnsville, Minnesota
NPI 1104225499

Pennie Elizabeth Bucilla is a Psychiatric/Mental Health Nurse Practitioner based in Burnsville, MN and is specialized in Psychiatric/Mental Health. Pennie Elizabeth Bucilla practices in Burnsville, MN and has the professional credentials of APRNCNP. The NPI Number for Pennie Elizabeth Bucilla is 1104225499 and holds a License No. R156407-9 (Minnesota).

The current practice location address for Pennie Elizabeth Bucilla is 1500 Mcandrews Rd W, Burnsville, MN and can be reached out via phone at 952-892-9393 and via fax at 952-800-8892. You can also correspond with Pennie Elizabeth Bucilla through the mailing address at 1500 MCANDREWS RD W, BURNSVILLE, MN - 55337 (mailing address contact number: 952-892-9393).

Location: 1500 Mcandrews Rd W, Burnsville, MN, 55337
person
Provider Profile Details
NPI Number
1104225499
Provider Name
Pennie Elizabeth Bucilla
Credential
APRNCNP
Provider Entity Type
Individual
Gender
Female
Address
1500 Mcandrews Rd W, Burnsville, MN, 55337
Phone Number
952-892-9393
Fax Number
952-800-8892
Provider Enumeration Date
08/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104225499 01 MN MINNESOTA HEALTH CARE PROGRAMS (MHCP)
institution
Provider Business Practice Location Address Details
Address
1500 Mcandrews Rd W
City
State
Zip
55337
Phone Number
952-892-9393
Fax Number
952-800-8892
person
Provider Business Mailing Address Details
Address
1500 Mcandrews Rd W
City
State
Zip
55337
Phone Number
952-892-9393
Fax Number
952-800-8892
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R156407-9 (Minnesota)
Definition
Definition to come...
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