Amanda Nicole Penn, DO
Obstetrics & Gynecology in Philadelphia, PA. Individual provider (NPI-1).
NPI number1013846641
StatusActive
Last updated in NPPESMay 19, 2026
Details
- NPI
- 1013846641
- Entity type
- Individual (NPI-1)
- Name
- Amanda Nicole Penn
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2026
- Certification date
- May 18, 2026
- Last updated
- May 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | OT025395 | PA | Yes |
Practice location
5501 Old York RdPhiladelphia, PA 19141-3018
Phone 215-456-7890
Mailing address
5501 Old York RdPhiladelphia, PA 19141-3018
Phone 215-456-7890
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