Penta, Gareth John

Penta, Gareth John is an individual health care provider with primary practice located at 880 11Th Ave Ste 201 , Longview WA 98632-2402. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Penta, Gareth John can be contacted via phone (360) 559-3456.

Contact Information

Primary practice address
880 11Th Ave Ste 201 Longview WA 98632-2402
Phone: (360) 559-3456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP.AP.61079484-NP Washington

Profile Details

NPI number 1376167254
LBN Legal business name Penta, Gareth John
Credentials DNP, ARNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2020
Last updated Oct 12th, 2022 - 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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