NPI 1457607384

Penny Swank

Practitioner Religious Nonmedical Nursing Personnel Saint Louis, MO

Practice location

Address: 12630 Rott Rd, Saint Louis, MO 63127-1214
Phone: (314) 965-3833

Registered specialties (2)

Religious Nonmedical Nursing Personnel Primary

Nursing Service Related Providers Taxonomy 374T00000X

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Nursing Home Administrator

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1457607384
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2012
Record last updated: 27 Aug 2012

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.