National Provider Identifier
Susan Jean Penepent, RN
Susan Jean Penepent, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Ithaca, NY and a listed phone number of (607) 793-3755.
Profile Overview
- NPI
- 1205168333
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- January 29, 2010
- Last Updated
- January 29, 2010
Practice Location
- 434B Winthrop Dr
- Ithaca, NY 14850-1739
Phone: (607) 793-3755
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1205168333
- Entity Type
- Individual
- Last Name
- Penepent
- First Name
- Susan
- Middle Name
- Jean
- Credential
- RN
- Mailing Street Address
- 434B Winthrop Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1739
- Mailing Country
- US
- Mailing Phone
- (607) 793-3755
- Practice Street Address
- 434B Winthrop Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1739
- Practice Country
- US
- Practice Phone
- (607) 793-3755
- Enumeration Date
- January 29, 2010
- Last Updated
- January 29, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)