Individual
MARY ELIZABETH PENKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6847 N CHESTNUT ST STE 115, RAVENNA, OH 44266-3929
(330) 297-6055
Mailing address
6847 N CHESTNUT ST STE 115, RAVENNA, OH 44266-3929
(330) 297-6055
(330) 297-4918
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRN.CNS.01044
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083512
—
OH
Enumeration date
04/18/2013
Last updated
01/15/2021
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