Individual
HOLLY PENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1025 S TRIMBLE RD, MANSFIELD, OH 44906-3427
(419) 529-4602
Mailing address
1025 S TRIMBLE RD, MANSFIELD, OH 44906-3427
(419) 529-4602
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.024854
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.024854
OH
Other
Enumeration date
07/13/2019
Last updated
01/22/2022
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