Individual
PENNY M HORMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
73192 390TH ST, ORTONVILLE, MN 56278-2109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6415
MN
Other
Enumeration date
02/04/2019
Last updated
01/26/2022
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