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General NPI Number Information
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NPI Number | 1639226053
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Entity Type | Individual
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Provider Name | HEATHER FRANCES PENNEY MD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 1130 N NIMITZ HWY SUITE NUMBER A-224
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City | HONOLULU
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State | HI
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Zip | 96817-4579
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Country | US
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Telephone | 808-536-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 MAKIKI ST APT 112
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City | HONOLULU
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State | HI
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Zip | 96822-4488
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Country | US
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Telephone | 808-732-2680
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 057908
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13632
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License Number State | HI
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