Nurse Practitioner, Family
CRYSTAL PENNINO NP-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1508372277 · enumerated 2017-12-18 · record updated 2020-12-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 605 GATEWAY CT, KETCHIKAN, AK, 99901-5672 (907) 228-6558 Google Maps Apple Maps OpenStreetMap
- Mailing address 120 CARLANNA LAKE RD, KETCHIKAN, AK, 99901-5611 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 22403 AK
- Nurse Practitioner, Family 363LF0000X · Primary · License 166689 AK
In this directory
AK Ketchikan Gateway Borough Ketchikan Nurse Practitioner, Family
Locations and evidence
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Practice location
KETCHIKAN, AK, 999015672
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.