NPI 1275185993
Ivanna Rebecca Pengelley
Practice location
- Address
- 2110 S Gadsden St, Tallahassee, FL 32301-5513
- Phone
- (561) 309-9746
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1275185993
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jul 2019
- Record last updated
- 12 Jul 2019
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.