Penninah Obwaya
Individual provider Active NPI Registered Nurse · Plymouth Meeting, PA
NPI 1982931648 · NPPES record last updated Nov 17, 2009
Key facts
- NPI
- 1982931648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN593921 (PA)
- Practice address
- 2250 Hickory Rd
Plymouth Meeting, PA 19462-1047 - Phone
- (610) 834-1122
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| RN593921 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agapecare Services LLC | Current | Accepting new patients | |
| Agapecare Services LLC | Current | Accepting new patients | |
| Agape Psychiatric Services LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN593921 | PA | Yes |
Addresses
Primary practice location
2250 Hickory Rd
Plymouth Meeting, PA 19462-1047
Mailing address
345 Rosecliff Dr
Douglassville, PA 19518-9502
Other providers in Plymouth Meeting, PA
- Obiageri Obi
- Evelyn Obidi
- Uchechukwu J Obiefule
- Virginia Obiefule
- Michael Obour
- Christine Obwogi
- Occupational Health Centers of the Southwest, P.a. (PA)
- Nicole Marie Oconnor Probst
- Robin Oden
- Ayodele Odeyemi
All providers in Plymouth Meeting, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 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.