Individual
JANICE M PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 MAPLE LN STE 1, ESSENTIA HEALTH ASHLAND CLINIC, ASHLAND, WI 54806-3610
(715) 685-7500
(715) 682-2481
Mailing address
1615 MAPLE LN STE 1, ESSENTIA HEALTH ASHLAND CLINIC, ASHLAND, WI 54806-3610
(715) 685-7500
(715) 682-2481
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
54647-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131218900
—
MN
05
—
43935500
—
WI
Enumeration date
07/14/2006
Last updated
05/23/2016
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