Penkalski, Melissa R.
Penkalski, Melissa R. is an individual health care provider with primary practice located at 1033 E Walnut St , Springfield MO 65806-2604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Other Service Providers / Health Educator. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Penkalski, Melissa R. can be contacted via phone (417) 693-1797.Contact Information
Primary practice address
1033 E Walnut St
Springfield MO 65806-2604
Phone: (417) 693-1797
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 127573 | Missouri |
Other Service Providers / Health Educator | 174H00000X | Missouri |
Profile Details
NPI number | 1427254267 |
---|---|
LBN Legal business name | Penkalski, Melissa R. |
Credentials | DNP, APRN, CPNP-PC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2007 |
Last updated | Apr 4th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427254267 | NPPES |
Missouri | MEDICAID | 425843315 |
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