Penner, Madeline Anne

Penner, Madeline Anne is an individual health care provider with primary practice located at 2950 S Elm Pl Ste 256 , Broken Arrow OK 74012-7871. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Penner, Madeline Anne can be contacted via phone (918) 449-4061.

Contact Information

Primary practice address
2950 S Elm Pl Ste 256 Broken Arrow OK 74012-7871
Phone: (918) 449-4061
Fax: (918) 449-4075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2437 Oklahoma

Profile Details

NPI number 1346639176
LBN Legal business name Penner, Madeline Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2015
Last updated Oct 29th, 2024 - about 2 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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