Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN ELIZABETH PENGELLY, CNP
Active Sole ProprietorKATHLEEN ELIZABETH PENGELLY, CNP is a Substance Abuse Psychiatric Nurse healthcare provider located in SAINT PAUL, Minnesota. NPI 1760956668 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · SAINT PAUL, MN
Registration Details
- NPI Number
- 1760956668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2019 (7.6062048358527 yrs)
- Last Updated
- Aug 15, 2019
- Licenses
-
6667 (MN)138239-0 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
762 TRANSFER RD STE 21SAINT PAUL, MN, 551141489Browse MN providers · Browse ZIP 55114
- Phone
- 6516592900
- Fax
- 6516457307
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
- Additional Specialty
- Substance Abuse Psychiatric Nurse
Other Substance Abuse Psychiatric Nurse Providers in SAINT PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| DELPHINE NAYAH-CHUO TIMTI | NP | 1760241335 |
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.