Individual
PENNY RENE HUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
790 VETERANS WAY RM 2C144, PENSACOLA, FL 32507-1000
(850) 912-2264
Mailing address
790 VETERANS WAY RM 2C144, PENSACOLA, FL 32507-1000
(850) 912-2264
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
199823147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2242312
RN
FL
Enumeration date
09/19/2022
Last updated
09/19/2022
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