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

Penny R Los

Individual provider Nurse Practitioner · NPI 1134789522

Penny R Los is a Nurse Practitioner in Wenatchee, Washington. Qualified in 2019, 7 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019
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Practice location Address checks out

1201 S Miller St
Wenatchee, WA 98801-3201
Phone: (509) 663-8711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60958271 (WA)

Record details

NPI number1134789522
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 18, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wenatchee