Regina Lynn Pennell, L.
Individual provider Active NPI Licensed Practical Nurse · New Concord, OH
NPI 1407189889 · NPPES record last updated Sep 16, 2009
Key facts
- NPI
- 1407189889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN131822 MEDS (OH)
- Practice address
- 1000 Tammy Cir
New Concord, OH 43762-9684 - Phone
- (740) 261-5013
- NPI assigned
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN131822 MEDS | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN131822 MEDS | OH | Yes |
Addresses
Primary practice location
1000 Tammy Cir
New Concord, OH 43762-9684
Mailing address
1000 Tammy Cir
New Concord, OH 43762-9684
Phone (740) 261-5013
Other providers in New Concord, OH
- Muskingum University
- Jailene Ericka Olds
- William H Overholser
- Jeff A Pattison
- Kent L. Pattison
- Somer Mackenize Reid
- Rick a Barstow DDS Inc
- Jamie Ritchey
- Ro-Mar Medical Inc
- Brooke Nicole Robbins
All providers in New Concord, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.