Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRISTAN PENNELLA, DO
Active Sole ProprietorFamily Medicine · EXCELSIOR, MN
Registration Details
- NPI Number
- 1356923361
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2021 (5.0457426206096 yrs)
- Last Updated
- Jan 6, 2025
- License
-
73409 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
675 WATER STEXCELSIOR, MN, 553313158Browse MN providers · Browse ZIP 55331
- Phone
- 9529067855
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in EXCELSIOR, MN
| Name | Credential | NPI |
|---|---|---|
| MICHAEL T SCHULENBERG | MD | 1962402834 |
| SWARNA ERRAMREDDI LATHA | M.D | 1912013954 |
| ELIZABETH LYNN KENNEDY | DO | 1215007414 |
| MS. BRIANA MARIE RUEDA | DO | 1154505287 |
| DR. HILARY M HAMMELL | D.O. | 1386963296 |
| DR. LUCY KURTZ EIKEVIK | — | 1215349246 |
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.