Healthcare Provider Details

I. General information

NPI: 1184127409
Provider Name (Legal Business Name): PENNY ANN SCZENSKI AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2018
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 8TH AVE STE 6080
SPOKANE WA
99204-2313
US

IV. Provider business mailing address

PO BOX 824
TEKOA WA
99033-0824
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-6500
  • Fax:
Mailing address:
  • Phone: 509-270-6267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberAP60844521
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: