| Doctor Name: | MRS. PENNY JELAN DRY |
| NPI Number: | 1144524026 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN00164631 |
| Business Practice Address: | 14643 Ne 166th St Woodinville, WA - 980729013 |
| Business Phone Number: | 4258069453 |
| Business Fax Number: | |
| Mailing Address: | 6309 88th St Ne, MARYSVILLE |
| State: | WA |
| Postal Code: | 982702858 |
| Phone Number: | 3606533474 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2011 |
| NPI Last Update Date: | 07/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | RN00164631 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |