Individual
MRS. PENELOPE WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
200 INDIAN SPRINGS RD, MC KEE, KY 40447-9208
(606) 401-6734
Mailing address
200 INDIAN SPRINGS RD, MC KEE, KY 40447-9208
(606) 401-6734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1074415
KY
363L00000X
Nurse Practitioner
Primary
3016824
KY
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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