Individual
PENNY MENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1737 BEAM AVE, MAPLEWOOD, MN 55109-2185
(651) 770-3320
(651) 770-3684
Mailing address
1737 BEAM AVE, MAPLEWOOD, MN 55109-2185
(651) 770-3320
(651) 770-3684
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0927620
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783717800
—
MN
Enumeration date
03/01/2006
Last updated
05/28/2015
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