DR. Gareth John Penta, DNP, ARNP, PMHNP-BC
NPI #1376167254 in Longview, Washington
Provider Information
- NPI Number
- 1376167254
- Entity Type
- Individual
- Name
- DR. Gareth John Penta, DNP, ARNP, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- DNP, ARNP, PMHNP-BC
- Enumeration Date
- Jun 5, 2020
- Last Updated
- Oct 12, 2022
Practice Location
- Address
- 880 11TH AVE STE 201
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2402
- Phone
- (360) 559-3456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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