Pena, John Dustin
Pena, John Dustin is an individual health care provider with primary practice located at 102 Courthouse Dr Ste F , Salmon ID 83467-3905. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Pena, John Dustin can be contacted via phone (208) 742-1110.Contact Information
Primary practice address
102 Courthouse Dr Ste F
Salmon ID 83467-3905
Phone: (208) 742-1110
Fax: (208) 742-1120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 65855 | Idaho |
Profile Details
| NPI number | 1730787482 |
|---|---|
| LBN Legal business name | Pena, John Dustin |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2020 |
| Last updated | Oct 14th, 2020 - about 5 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.
Popular Providers
-
Wyatt, Myllissa M.
403 Riverfront Dr , Salmon ID 83467-5162 -
Kamovitch, Susan M
206 South Street Smr Health Care, Fairfield CT 06824 -
Kaczegowicz, Nanci E
115 Technology Dr Suite B-106, Trumbull CT 06611-6337 -
White, Monica Lena
404 Courthouse Dr , Salmon ID 83467-3341 -
Earl, Jill Van
3413 Harvest Dr , Gordonville PA 17529-9586 -
Kinkel, Glenda L
305 Pawnee Ave , Flagler CO 80815-9286 -
Healy, Kathleen Louise
10 Takotna Ave. , Mcgrath AK 99627-9800 -
Long, Sarah Browne
2000 E Greenville St Ste 3850, Anderson SC 29621-1580