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Individual
PENELOPE ANDERSON
Active
Individual
PENELOPE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
786786
TX
363L00000X
Nurse Practitioner
1142321
TX
363LF0000X
Family Nurse Practitioner
Primary
1142321
TX
Other
Enumeration date
06/06/2023
Last updated
03/13/2026
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