Search › California › 163WC0400X
Michele Pennywell, RN
NPI 1871770578 · on the registry since 2008 · sole proprietor
Practice
- Address
- 895 S Marks Ave
Fresno, CA 93706 - Phone
- (559) 777-0435
- Fax
- (559) 412-8119
- Organisation at this address
- Teen Harbor
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WC0400X
163WC0400X
- Also registered as
- 163WP0808X
163W00000X
163WC1500X
163WG0000X
163WH0200X
163WM0705X
163WR0400X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-02
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 California