NPI 1376075911

Tanisha Pengel, LPN

Practitioner Adult Companion Jamaica, NY

Practice location

Address: 10910 210th St, Jamaica, NY 11429-1422
Phone: (610) 905-3352

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X Licence 311323 (NY)

Other Adult Companion providers in New York →

Registry record

NPI: 1376075911
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2017
Record last updated: 2 Apr 2017

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.