Provider Demographics
NPI:1598556037
Name:ARBOGAST, PENNY
Entity type:Individual
Prefix:
First Name:PENNY
Middle Name:
Last Name:ARBOGAST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MONTERVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26282-7043
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MONTERVILLE
Practice Address - State:WV
Practice Address - Zip Code:26282-7043
Practice Address - Country:US
Practice Address - Phone:304-940-3515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide