Michael Reynard Penn

Peer Specialist · Beaver, WV

Individual Active NPI

NPI number 1699425017

Practice location

175 Philpott Ln
Beaver, WV 25813-9501
Phone
(304) 254-9262

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NPI record

NPI
1699425017
Entity type
Individual (Type 1)
Enumeration date
March 28, 2022
Last updated
April 20, 2023
Certified
April 20, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —
Counselor 101Y00000X — —

About Michael Penn

Michael Reynard Penn is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 175 Philpott Ln, Beaver, WV 25813-9501. The NPI number 1699425017 was assigned on March 28, 2022 and the record was last updated on April 20, 2023.

Frequently asked questions

What is the NPI number of Michael Reynard Penn?

The NPI number is 1699425017.

What is the phone number of Michael Penn?

The phone number listed for the practice location is (304) 254-9262.

Where is Michael Penn located?

175 Philpott Ln, Beaver, WV 25813-9501.

What is the taxonomy code for Michael Penn?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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