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

DR. PENNIE ELIZABETH BUCILLA, APRN CNP

Active Sole Proprietor

DR. PENNIE ELIZABETH BUCILLA, APRN CNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BURNSVILLE, Minnesota. NPI 1104225499 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · BURNSVILLE, MN

Registration Details

NPI Number
1104225499
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2014 (11.935765261529 yrs)
Last Updated
Sep 23, 2020
Licenses
R156407-9 (MN)
R156407-9 CNP1972 (MN)
Sole Proprietor
Yes

Practice Information

Address
1500 MCANDREWS RD W
BURNSVILLE, MN, 55337
Browse MN providers · Browse ZIP 55337
Phone
9528929393
Fax
9528008892

Other Psychiatric/Mental Health Nurse Practitioner Providers in BURNSVILLE, MN

Name Credential NPI
NANCY L BRADSHAW RN, CNP 1063596096
MRS. ROCHELLE D. PERRY FMHNP-BC 1023306834
CASSIDY MARIE FUREY APRN, CNP 1679837926
PAMELA BROWN 1639423544
STEPHANIE L SMITH-FORNSHELL CNP 1134559610
ADEJOKE ADEDEJI APRN PMHNP-BC 1164813366
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.