Individual
MATTHEW ALAN PENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
812 MOHAWK DR, MC DERMOTT, OH 45652-9000
(740) 356-6030
(740) 356-6033
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0033330
OH
Other
Enumeration date
02/22/2023
Last updated
10/30/2023
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