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Patricia E Penna, RN
General Practice Registered Nurse in Lake Grove, New York
NPI 1215091012

Patricia E Penna is a General Practice Registered Nurse based in Lake Grove, NY and is specialized in General Practice. Patricia E Penna practices in Lake Grove, NY and has the professional credentials of RN. The NPI Number for Patricia E Penna is 1215091012 and holds a License No. 371523-1 (New York).

The current practice location address for Patricia E Penna is 14 Tulip Grove Dr, Lake Grove, NY and can be reached out via phone at 631-981-0704.

Location: 14 Tulip Grove Dr, Lake Grove, NY, 11755-1821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215091012
Provider Name
Patricia E Penna
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
14 Tulip Grove Dr, Lake Grove, NY, 11755-1821
Phone Number
631-981-0704
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01109897 05 NY
institution
Provider Business Practice Location Address Details
Address
14 Tulip Grove Dr
City
Lake Grove
State
New York
Zip
11755-1821
Phone Number
631-981-0704
Fax Number
person
Provider Business Mailing Address Details
Address
14 Tulip Grove Dr
City
Lake Grove
State
New York
Zip
11755-1821
Phone Number
631-981-0704
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
371523-1 (New York)
Definition
Definition to come...
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