Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PENNY GOUDELOCK, PA
ActivePENNY GOUDELOCK, PA is a Medical Physician Assistant healthcare provider located in EVERETT, Washington. NPI 1043433352 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · EVERETT, WA
Registration Details
- NPI Number
- 1043433352
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2007 (19.547293970226 yrs)
- Last Updated
- Apr 14, 2020
- License
-
PA10005160 (WA)
Practice Information
- Address
-
1100 PACIFIC AVESUITE 202EVERETT, WA, 982014261Browse WA providers · Browse ZIP 98201
- Phone
- 4253884075
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in EVERETT, WA
| Name | Credential | NPI |
|---|---|---|
| JOHN F MATISTA | PA-C | 1366435943 |
| MARY E MITCHELL | PA | 1013990860 |
| MR. JEFFREY M. HELLMAN | PA-C | 1972553683 |
| BECKY L ZUFALL | PA-C | 1548214042 |
| MR. GREG T. MARTINEZ | P.A. | 1982640215 |
| MR. RANDALL C DICKSON | PAC | 1215960372 |
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.