Susan Penque Valid NPI
Individual provider · Nurse Practitioner · Shelton, CT
- NPI
- 1003562406
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 10088 (CT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-02-23
- Last updated
- 2022-02-23
Practice location
18 Frans Way
Shelton, CT 06484-2182
(516) 640-6195