Individual
COURTNEY PENQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 COLOMBA DR STE 2, NIAGARA FALLS, NY 14305-1275
(716) 501-5501
(716) 229-4520
Mailing address
1 COLOMBA DR STE 2, NIAGARA FALLS, NY 14305-1275
(716) 501-5501
(716) 229-4520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352072
NY
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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