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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104158104

Nicholas Penner, MD is a Student in an Organized Health Care Education/Training Program in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104158104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 2, 2010
Last updated in NPPESFebruary 2, 2010

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