Individual provider · NPI-1

Penelope Adams, PNP

Nurse Practitioner, Pediatrics · Staten Island, NY

NPI number1124293667
StatusActive
Last updated in NPPESApr 25, 2008

Details

NPI
1124293667
Entity type
Individual (NPI-1)
Name
Penelope Adams
Credential
PNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 25, 2008
Last updated
Apr 25, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsF381933-1NYYes

Practice location

475 Seaview Avenue
Staten Island, NY 10305-3498

Phone 718-226-9000

Mailing address

180 Reid Ave
Rockaway Point, NY 11697-1921

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