Individual
SHIRLEY A PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
140 W 4TH ST, ST ANSGAR, IA 50472-0000
(641) 736-4401
(641) 713-4977
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
866
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10819
WELLMARK
IA
Enumeration date
09/29/2006
Last updated
07/08/2007
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