Individual
CHERYL DIANNE PENAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1005 MAR WALT DR, CARDIOLOGY DEPARTMENT, FORT WALTON BEACH, FL 32547-6707
(850) 863-8294
(850) 863-8228
Mailing address
1005 MAR WALT DR, CARDIOLOGY DEPARTMENT, FORT WALTON BEACH, FL 32547-6707
(850) 863-8294
(850) 863-8228
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3374912
FL
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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