Penkalski, Melissa R.

Penkalski, Melissa R. is an individual health care provider with primary practice located at 1033 E Walnut St , Springfield MO 65806-2604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Other Service Providers / Health Educator. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Penkalski, Melissa R. can be contacted via phone (417) 693-1797.

Contact Information

Primary practice address
1033 E Walnut St Springfield MO 65806-2604
Phone: (417) 693-1797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 127573 Missouri
Other Service Providers / Health Educator 174H00000X Missouri

Profile Details

NPI number 1427254267
LBN Legal business name Penkalski, Melissa R.
Credentials DNP, APRN, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Apr 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427254267 NPPES
Missouri MEDICAID 425843315

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