NPI 1376529917

Penny S. Fricke, RNMSNCFNP

Practitioner Family Health Clinical Nurse Specialist Springfield, IL

Practice location

Address: 2532 Farragut Dr, Springfield, IL 62704-1433
Phone: (217) 528-7541
Mailing address: 1025 S 6th St, Springfield, IL 62703-2403

Registered specialties

Family Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SF0001X Licence 209003043 (IL)

Other Clinical Nurse Specialist providers in Illinois →

Registry record

NPI: 1376529917
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2005
Record last updated: 22 May 2020

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.