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SUSAN M PENNELL RPH CCN NPI 1861571564


NPI Information

NPI: 1861571564
Provider Name: SUSAN M PENNELL, RPH CCN
Classification: Pharmacist - 1835N1003X
Entity Type: Individual

Specialization: Nutrition Support

Address:
G3320 BEECHER RD
FLINT, MI
ZIP 48532
Phone: (810) 732-8720
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Susan M Pennell, RPH CCN is a nutrition support pharmacist in Flint, MI. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. Susan M Pennell, RPH CCN NPI is 1861571564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

G3320 BEECHER RD
FLINT, MI
ZIP 48532-614
Phone: (810) 732-8720
Fax: (810) 732-6267

The enumeration date for this NPI number is 11/3/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835N1003XPharmacistNutrition Support023789MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.