Provider Demographics
NPI:1376351189
Name:BUENING, PENNY ELIZABETH (APRN)
Entity type:Individual
Prefix:MS
First Name:PENNY
Middle Name:ELIZABETH
Last Name:BUENING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MO
Mailing Address - Zip Code:63435-0273
Mailing Address - Country:US
Mailing Address - Phone:660-216-7466
Mailing Address - Fax:
Practice Address - Street 1:1102 N COUNTY ROAD 700
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IL
Practice Address - Zip Code:62379-3011
Practice Address - Country:US
Practice Address - Phone:217-256-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.031247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily