Individual
DR. MELISSA R. PENKALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
1033 E WALNUT ST, SPRINGFIELD, MO 65806-2604
(417) 693-1797
Mailing address
1033 E WALNUT ST, SPRINGFIELD, MO 65806-2604
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
127573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425843315
—
MO
Enumeration date
06/26/2007
Last updated
07/18/2025
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