Individual
ALICE KRISTINE PENN
Active
Individual
ALICE KRISTINE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
TEMP236671
AR
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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