Penny Mims, CNP

NPI #1104369610 in Ypsilanti, Michigan

Provider Information

NPI Number
1104369610
Entity Type
Individual
Name
Penny Mims, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
CNP
Enumeration Date
Dec 1, 2016
Last Updated
Dec 1, 2016

Practice Location

Address
5301 E HURON RIVER DR
ZIP Code
48197-1051
Phone
(734) 712-8676

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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