Individual
ALEXIS PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 GROVE ST, SHREWSBURY, MA 01545-4695
(508) 868-8997
Mailing address
28 LAKE AVE, WORCESTER, MA 01604-5823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2273892
MA
Other
Enumeration date
01/17/2022
Last updated
01/20/2022
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