Healthcare Provider Details

I. General information

NPI: 1932916665
Provider Name (Legal Business Name): NALANI PITTS PENA RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 K ST NE
WASHINGTON DC
20002-4216
US

IV. Provider business mailing address

10012 HUXLEY DR
LANHAM MD
20706-2388
US

V. Phone/Fax

Practice location:
  • Phone: 301-659-4575
  • Fax:
Mailing address:
  • Phone: 301-659-4575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number241300
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number500022010
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: