Provider Demographics
NPI:1275405334
Name:VALENTINE HALE, PENNY LEE
Entity type:Individual
Prefix:
First Name:PENNY LEE
Middle Name:
Last Name:VALENTINE HALE
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 1:248 ELLIS RD
Mailing Address - Street 2:
Mailing Address - City:MONCURE
Mailing Address - State:NC
Mailing Address - Zip Code:27559-9539
Mailing Address - Country:US
Mailing Address - Phone:717-333-7331
Mailing Address - Fax:
Practice Address - Street 1:248 ELLIS RD
Practice Address - Street 2:
Practice Address - City:MONCURE
Practice Address - State:NC
Practice Address - Zip Code:27559-9539
Practice Address - Country:US
Practice Address - Phone:717-333-7331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider