Individual
MS. BONITA E. PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
200 BIDDLE AVE STE 100, NEWARK, DE 19702-3967
(302) 836-7820
(302) 836-7826
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0001008
DE
363LF0000X
Family Nurse Practitioner
LG-0001008
DE
Other
Enumeration date
02/14/2017
Last updated
06/02/2021
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