Individual
BETHANY RUTH LORD PENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 E 26TH ST STE 401, MINNEAPOLIS, MN 55404-4515
(612) 863-0200
Mailing address
3348 YOSEMITE AVE S, ST LOUIS PARK, MN 55416-2142
(612) 863-0200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13883
MN
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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