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Mr. Cody Alan Penske, LPN
Licensed Practical Nurse in Holland, Ohio
NPI 1992086912

Cody Alan Penske is a Licensed Practical Nurse based in Holland, OH. Cody Alan Penske practices in Holland, OH and has the professional credentials of LPN. The NPI Number for Cody Alan Penske is 1992086912 and holds a License No. 138468 (Ohio).

The current practice location address for Cody Alan Penske is 729 Harefoote St, Holland, OH and can be reached out via phone at 419-410-5320.

Location: 729 Harefoote St, Holland, OH, 43528-8566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992086912
Provider Name
Cody Alan Penske
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
729 Harefoote St, Holland, OH, 43528-8566
Phone Number
419-410-5320
Fax Number
Provider Enumeration Date
09/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
729 Harefoote St
City
Holland
State
Ohio
Zip
43528-8566
Phone Number
419-410-5320
Fax Number
person
Provider Business Mailing Address Details
Address
729 Harefoote St
City
Holland
State
Ohio
Zip
43528-8566
Phone Number
419-410-5320
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
138468 (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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