Individual
ALI N PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
227 VALLEY VIEW DR, WAVERLY, OH 45690-9135
(740) 947-7726
(740) 947-9354
Mailing address
941 MARKET ST, PIKETON, OH 45661-9757
(740) 289-2371
(740) 289-4291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.13652-NP
OH
Other
Enumeration date
01/09/2013
Last updated
09/22/2021
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