| NPI | 1518186295 |
|---|---|
| Doing Business As | COREWELL HEALTH PENNOCK HOSPITAL PROFESSIONAL |
| Entity Type | Organization |
| Authorized Contact | RYAN CATIGNANI VP, Provider Services 947-522-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-08-24 |