Search › Michigan › 363L00000X
Tynise Penn, N.P
NPI 1073841011 · on the registry since 2009
Practice
- Address
- 29877 Telegraph Rd Ste 401
Southfield, MI 48034 - Phone
- (248) 294-0539
- Fax
- (248) 934-1390
- Organisation at this address
- Dpn-Mi Pc
Rubix Health
Wook Kim Md Pc
Oakland Pt Inc
Wook Kim Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 52
Additional practice sites
- 405 W Greenlawn Ave Ste G11, Lansing, MI
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2200X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan