Fricke, Penny S.

Fricke, Penny S. is an individual health care provider with primary practice located at 2532 Farragut Dr , Springfield IL 62704-1433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as her primary health care specialty. Fricke, Penny S. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
2532 Farragut Dr Springfield IL 62704-1433
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 209003043 Illinois

Profile Details

NPI number 1376529917
LBN Legal business name Fricke, Penny S.
Credentials R.N.,M.S.N.,CFNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated May 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers