Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVANNA REBECCA PENGELLEY
Active Sole ProprietorIVANNA REBECCA PENGELLEY is a Peer Specialist healthcare provider located in TALLAHASSEE, Florida. NPI 1275185993 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · TALLAHASSEE, FL
Registration Details
- NPI Number
- 1275185993
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2019 (7.1094776491965 yrs)
- Last Updated
- Jul 12, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
2110 S GADSDEN STTALLAHASSEE, FL, 323015513Browse FL providers · Browse ZIP 32301
- Phone
- 5613099746
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in TALLAHASSEE, FL
| Name | Credential | NPI |
|---|---|---|
| BONNIE MAE HAMILTON | — | 1215602438 |
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.