NPI 1013016989

Danette Pengilly, GNPC

Practitioner Gerontology Nurse Practitioner Bismarck, ND

Practice location

Address: 310 N 10th St, Bismarck, ND 58501-4516
Phone: (701) 530-7500
Fax: (701) 530-7484

Registered specialties

Gerontology Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence R23780 (ND)

Other Nurse Practitioner providers in North Dakota →

Registry record

NPI: 1013016989
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2006
Record last updated: 29 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.