| Penny Louise Flavin, | |
|
111 County Road 11 Nw, Pine Island, MN 55963-9756 | |
| (507) 356-4929 | |
| Not Available |
| Full Name | Penny Louise Flavin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 111 County Road 11 Nw, Pine Island, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760434476 | NPI | - | NPPES |
| 632240900 | Medicaid | MN | |
| 500002158 | Other | MEDICARE CLINIC | |
| 500002158 | Other | MEDICARE LEGACY | |
| 1760434476 | Other | NPI | |
| 500002159 | Other | MEDICARE HOSPITAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R0980311 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Louise Flavin, 111 County Road 11 Nw, Pine Island, MN 55963-9756 Ph: (507) 356-4929 | Penny Louise Flavin, 111 County Road 11 Nw, Pine Island, MN 55963-9756 Ph: (507) 356-4929 |
Peter Nicholas Brehmer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 County Road 11 Nw, Pine Island, MN 55963 Phone: 507-356-4929 | |
Jeremy Jay Waldo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 County Road 11 Nw, Pine Island, MN 55963 Phone: 507-356-4929 |