Individual
COURTNEY BROOKE PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11835 FISHING POINT DR STE 104, NEWPORT NEWS, VA 23606-2584
(757) 599-5588
Mailing address
PO BOX 5508, VIRGINIA BEACH, VA 23471-0508
(757) 340-3489
(757) 340-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182616
VA
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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