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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANETTE PENGILLY, GNP-C

Active

Gerontological Nurse Practitioner · BISMARCK, ND

Registration Details

NPI Number
1013016989
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2006 (19.591957362648 yrs)
Last Updated
Feb 29, 2008
License
R23780 (ND)

Practice Information

Address
310 N 10TH ST
BISMARCK, ND, 585014516
Browse ND providers · Browse ZIP 58501
Phone
7015307500
Fax
7015307484
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in BISMARCK, ND

Name Credential NPI
SARAH MILLER 1003388638
LEE ANN JUNE SHORT NP 1013503911
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.