Provider Demographics
NPI:1497641971
Name:PENAFLOR, JOSEPH ISIAH (DNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ISIAH
Last Name:PENAFLOR
Suffix:
Gender:M
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 W 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-4371
Mailing Address - Country:US
Mailing Address - Phone:509-205-9456
Mailing Address - Fax:
Practice Address - Street 1:725 W 32ND AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-4371
Practice Address - Country:US
Practice Address - Phone:509-205-9456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP70006520363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health