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Individual

SUSAN M PENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM, PMHNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11001441
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
065254-23
NH
367A00000X
Advanced Practice Midwife
Primary
APRN11001441
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102553000
FL
Enumeration date
01/28/2016
Last updated
08/07/2026
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