HEATHER ANN PENNING CNP NPI 1700071248

NPI Information

NPI: 1700071248
Provider Name: HEATHER ANN PENNING, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
480 OSBORNE RD NE
SUITE 220
FRIDLEY, MN
ZIP 55432
Phone: (763) 786-1620
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Heather Ann Penning, CNP is an adult health nurse practitioner in Fridley, MN with 17 years of experience. Heather Ann Penning, CNP NPI is 1700071248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

480 OSBORNE RD NE
SUITE 220
FRIDLEY, MN
ZIP 55432-773
Phone: (763) 786-1620
Fax: (763) 780-3099

The NPI 1700071248 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 11/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	R 132897-2	MINNESOTA	No
2	363LA2200X	Nurse Practitioner	Adult Health	R 132897-2	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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