Individual
TABITHA RENEE PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
212 WINSTON DR, MARSHALL, MI 49068-8526
(269) 781-9867
Mailing address
8101 COPPER OAKS ST, PORTAGE, MI 49002-5891
(269) 245-5466
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704248744
MI
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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