Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS PENNER
Active Sole ProprietorNICHOLAS PENNER is a Occupational Therapist healthcare provider located in LAS CRUCES, New Mexico. NPI 1699480673 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAS CRUCES, NM
Registration Details
- NPI Number
- 1699480673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2023 (3.6235816220449 yrs)
- Last Updated
- Feb 2, 2023
- License
-
PTA1599 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1005 LUJAN HILL RDLAS CRUCES, NM, 880076304Browse NM providers · Browse ZIP 88007
- Phone
- 5755234573
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| ANDREA D BUNDY | PTA | 1700913993 |
| BARBARA ESQUEDA | PTA | 1649426743 |
| STACEY ANN HEFLEY | PTA | 1699072108 |
| THERESA ANN CONATORE | PTA | 1518248673 |
| TIMOTHY T DILLEN | — | 1013277029 |
| SHANE SHEEHAN | — | 1487078861 |
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.