Lara Ann Penn, FNP Valid NPI

Individual provider · Nurse Practitioner · O Fallon, MO

NPI

1538406954

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

2012041693 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2013-01-04

Last updated

2020-10-26