Individual
MRS. ABIGAIL PENICHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W ORANGE ST, LAKELAND, FL 33815-4645
(813) 344-9956
Mailing address
3909 CHARLIE TAYLOR RD, PLANT CITY, FL 33565-2529
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9424455
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11025612
FL
Other
Enumeration date
02/13/2023
Last updated
01/13/2025
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