Individual
JAMES LEE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0001
(814) 877-2938
Mailing address
344 E 4TH ST APT 2, ERIE, PA 16507-3604
(304) 550-2436
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28272918A
IN
367500000X
Certified Registered Nurse Anesthetist
4000410
KY
367500000X
Certified Registered Nurse Anesthetist
RN726958
PA
390200000X
Student in an Organized Health Care Education/Training Program
RN726958
PA
Other
Enumeration date
06/24/2021
Last updated
06/06/2023
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