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

MICHAEL REYNARD PENN

Active

MICHAEL REYNARD PENN is a Peer Specialist healthcare provider located in BEAVER, West Virginia. NPI 1699425017 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · BEAVER, WV

Registration Details

NPI Number
1699425017
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2022 (4.3378433189991 yrs)
Last Updated
Apr 20, 2023

Practice Information

Address
175 PHILPOTT LN
BEAVER, WV, 258139501
Browse WV providers · Browse ZIP 25813
Phone
3042549262
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Peer Specialist

Other Peer Specialist Providers in BEAVER, WV

Name Credential NPI
MELISSA KAYE WHITNEY 1164173985
MS. STEPHANIE NICOLE HARPER I SH 1568174548
DANIEL LEE OGLESBY 1770283954
LORI MICHELLE BROWN 1598440349
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.