Individual
REBECCA C PENKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
704 EDWARDS AVE, WESTCLIFFE, CO 81252-8588
(719) 783-2380
(719) 783-2377
Mailing address
1295 ELM ST, DENVER, CO 80220-2512
(719) 369-1216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994232-NP
CO
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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