Penny Rae Cleworth, RN
Registered Nurse, Home Health in Wisconsin Rapids, WI. Individual provider (NPI-1).
NPI number1972069714
StatusActive
Last updated in NPPESFeb 18, 2019
Details
- NPI
- 1972069714
- Entity type
- Individual (NPI-1)
- Name
- Penny Rae Cleworth
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2019
- Last updated
- Feb 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 57783-30 | WI | Yes |
Practice location
1531 Airport AveWisconsin Rapids, WI 54494-6376
Phone 715-213-3869
Mailing address
1531 Airport AveWisconsin Rapids, WI 54494-6376
Phone 715-213-3869
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