| Doctor Name: | PENNY VANDERBEEK |
| NPI Number: | 1093197949 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SP014573 |
| Business Practice Address: | 1591 Medical Dr Pottstown, PA - 194643224 |
| Business Phone Number: | 6103268005 |
| Business Fax Number: | 6103279629 |
| Mailing Address: | 1610 Medical Dr, 310 POTTSTOWN |
| State: | PA |
| Postal Code: | 194643292 |
| Phone Number: | 6103274200 |
| Fax Number: | 6103278160 |
| NPI Enumeration Date: | 06/26/2015 |
| NPI Last Update Date: | 06/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP014573 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |