Pennino, Crystal

Pennino, Crystal is an individual health care provider with primary practice located at 605 Gateway Ct , Ketchikan AK 99901-5672. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pennino, Crystal can be contacted via phone (907) 228-6558.

Contact Information

Primary practice address
605 Gateway Ct Ketchikan AK 99901-5672
Phone: (907) 228-6558
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 22403 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 166689 Alaska

Profile Details

NPI number 1508372277
LBN Legal business name Pennino, Crystal
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2017
Last updated Dec 8th, 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.

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