Individual
BRANDY PENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 E MAIN ST, RIVERTON, WY 82501-3730
(334) 282-2556
Mailing address
1008 E MAIN ST, RIVERTON, WY 82501-3730
(334) 282-2556
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN5261599
FL
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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