Individual
PENNY ANDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
604 E MAIN ST, GOLDENDALE, WA 98620-9248
(928) 592-2115
Mailing address
PO BOX 1466, GOLDENDALE, WA 98620-1466
(928) 592-2115
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00123445
WA
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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