Individual
MICHELLE RUTH PENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13430 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85254-4058
(888) 407-7928
Mailing address
6677 W THUNDERBIRD RD STE C142, GLENDALE, AZ 85306-3760
(480) 963-1853
(602) 973-0978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11242
AZ
Other
Enumeration date
08/28/2018
Last updated
02/21/2019
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