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Individual
SHENITA ANNETTE PENN
Active
Individual
SHENITA ANNETTE PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
R193217
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R193217
MD
Other
Enumeration date
03/04/2026
Last updated
09/03/2026
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