Individual
AMY CLAIRE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
10901 CONNECTICUT AVE, SUITE 100, KENSINGTON, MD 20895-1645
(240) 290-1041
Mailing address
10901 CONNECTICUT AVE, SUITE 100, KENSINGTON, MD 20895-1645
(240) 290-1041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R218983
MD
163W00000X
Registered Nurse
RN1032534
DC
363LP0200X
Pediatric Nurse Practitioner
Primary
R218983
MD
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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