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Samuel Pennoyer, RN

Registered Nurse in Seattle, WA. Individual provider (NPI-1).

NPI number1114756608
StatusActive
Last updated in NPPESJul 31, 2024

Details

NPI
1114756608
Entity type
Individual (NPI-1)
Name
Samuel Pennoyer
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 31, 2024
Certification date
Jul 31, 2024
Last updated
Jul 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN60482343WAYes

Practice location

2600 Sw Holden St
Seattle, WA 98126-3505

Phone 206-933-7000

Mailing address

188 Bellevue Way Ne Unit 1405
Bellevue, WA 98004-5202

Phone 206-376-3741

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