Individual
JOHN ANTHONY PENUNURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5700 AZ-90, SIERRA VISTA, AZ 85635-2812
(520) 263-2453
Mailing address
2827 SALDANA CT, SIERRA VISTA, AZ 85650-4250
(520) 249-6150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5169
AZ
Other
Enumeration date
08/26/2013
Last updated
12/20/2016
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