Individual
PENNY L REAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17624 N. 31ST AVE., PHOENIX, AZ 85053
(602) 467-5910
(602) 467-5980
Mailing address
17624 N 31ST AVE, PHOENIX, AZ 85053-1935
(602) 467-5910
(602) 467-5980
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN169859
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-6004178
DVUSD
AZ
Enumeration date
08/01/2017
Last updated
07/21/2022
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