Individual
KATHERINE PENETAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 310, ALLENTOWN, PA 18103-6381
(610) 402-6890
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
870750
NV
363LG0600X
Gerontology Nurse Practitioner
SP016459
PA
Other
Enumeration date
08/14/2016
Last updated
01/13/2026
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