MRS. PENNY LOU PHARES (NPI# 1477619377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477619377 |
| Entity Type | Individual |
| Full Name | MRS. PENNY LOU PHARES |
| Credential | ARNP |
| Practice Address |
6210 Harmony Ln Yankeetown FL 34498-2369 |
| Mailing Address |
14 Hickory Ave Yankeetown FL 34498-2424 |
| Practice Telephone | 3524471775 |
| Practice Fax Number | 3524472165 |
| Mailing Telephone | 3524471775 |
| Mailing Fax Number | 3524472165 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
ARNP1239672 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | VALUE OPTIONS PROVIDER NU | 474927 | 01 |
| Street Address |
6210 HARMONY LN |
| City | YANKEETOWN |
| State | FL |
| Zip Code | 34498-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689878837 | Child's Play Foundation, Inc. | Counselor | 6210 Harmony Ln, Yankeetown, FL 34498-2369 | 2007-06-12 |
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639516586 | Marcia Susan Starkman | Registered Nurse | 2620 N Pine Island Rd, Sunrise, FL 33322-2832 | 2013-06-02 |
| 1578887162 | Rosa M Torres | Registered Nurse | 1440 Sw 76th Ave, Miami, FL 33144-4440 | 2010-03-25 |
| 1982813903 | Laura Lynne Crow | Registered Nurse | 9504 E Columbus Dr, Tampa, FL 33619-7715 | 2007-05-22 |
| 1568545564 | Maria Harp | Registered Nurse | 1718 Main St, Ste. 302, Sarasota, FL 34236-5815 | 2006-10-23 |
| 1396854501 | Elcha Buckman | Registered Nurse | 3430 Galt Ocean Dr, 1704, Ft Lauderdale, FL 33308-7045 | 2006-08-30 |
| 1811501737 | Oasis Health Online LLC | Registered Nurse | 9800 4th St N Ste 200, Saint Petersburg, FL 33702-2462 | 2020-09-08 |
| 1548725864 | Angela Hill | Registered Nurse | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2019-02-01 |
| 1023596657 | Tracy Long | Registered Nurse | 259 Bill France Blvd, Daytona Beach, FL 32114-1316 | 2018-08-06 |
| 1598276420 | Carla D Toth | Registered Nurse | 671 Winyah Dr, Orlando, FL 32803-1226 | 2017-10-18 |
| 1629529946 | Deborah Daniels | Registered Nurse | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
| City | YANKEETOWN |
| Zip Code | 34498 |
Please comment or provide details below to improve the information on MRS. PENNY LOU PHARES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.