Individual
JANICE MORTIMER PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 887-4798
(716) 887-4941
Mailing address
908 NIAGARA FALLS BLVD, STE 208, N TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 213-0935
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
305058
NY
Other
Enumeration date
03/04/2009
Last updated
03/24/2009
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