Individual
VANESSA LYNN PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, AGNP-C
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-3057
(515) 643-0943
Mailing address
PO BOX 674721, DALLAS, TX 75267-4721
(515) 643-2519
(515) 643-0943
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG08250005
IA
363LP2300X
Primary Care Nurse Practitioner
Primary
AG08250005
IA
363LP2300X
Primary Care Nurse Practitioner
Primary
H188625
IA
Other
Enumeration date
09/09/2025
Last updated
05/11/2026
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