DANETTE PENGILLY, GNP-C, Gerontology BISMARCK, ND

Contact Information

DANETTE PENGILLY, GNP-C

310 N 10TH ST
BISMARCK, ND 58501-4516

Phone: 701-530-7500
Fax: 701-530-7484
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	363LG0600X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for DANETTE PENGILLY · (Female)

NPI Number	`1013016989`
Status	Active
Credentials	GNP-C
Entity	Individual
Enumeration date	09/21/2006
Last updated	02/29/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	ND License # R23780 Other 1013016989 NPI ND Other P00209023 RAILROAD MEDICARE
Hospital affiliation(s)	GARRISON MEMORIAL HOSPITAL - (Critical Access) 407 3RD AVE SE GARRISON, ND 58540 LINTON HOSPITAL - CAH - (Critical Access) 518 NORTH BROADWAY LINTON, ND 58552 SAKAKAWEA MEDICAL CENTER - CAH - (Critical Access) 510 8TH AVENUE NE HAZEN, ND 58545 ST ALEXIUS MEDICAL CENTER - (Acute Care) 900 E BROADWAY BISMARCK, ND 58501 WISHEK COMMUNITY HOSPITAL - (Critical Access) 1007 4TH AVE S WISHEK, ND 58495

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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DANETTE PENGILLY, GNP-C – NPI #1013016989Gerontology

Contact Information

Specialty

Gerontology

NPI Profile & details for DANETTE PENGILLY · (Female)

Reviews for DANETTE PENGILLY

DANETTE PENGILLY, GNP-C – NPI #1013016989
Gerontology