Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Miriam Lee Pennise, NP

Individual provider Adult Health Nurse Practitioner · NPI 1790882397

Mrs. Miriam Lee Pennise, NP is an Adult Health Nurse Practitioner in Commack, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

340 Veterans Hwy Ste 12
Commack, NY 11725-4300
Phone: (631) 486-8400
Fax: (631) 486-8080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 379-297 RN (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 301536 NP (NY)

Record details

NPI number1790882397
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 19, 2006
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021

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