Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN HERBERT PENNER, RN LIC#708932-1
Active Sole ProprietorMR. JOHN HERBERT PENNER, RN LIC#708932-1 is a Registered Nurse healthcare provider located in MALVERN, New York. NPI 1285477273 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · MALVERN, NY
Registration Details
- NPI Number
- 1285477273
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2024 (2.1617279399886 yrs)
- Last Updated
- Jun 17, 2024
- License
-
408932-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
189 ROLLING STREETMALVERN, NY, 11565Browse NY providers · Browse ZIP 11565
- Phone
- 5165990643
- Primary Specialty
-
Registered Nurse
163W00000X
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.