MRS. CAROLYN MARIE PENROSE NNP-BC NPI 1356763643

NPI Information

NPI: 1356763643
Provider Name: MRS. CAROLYN MARIE PENROSE, NNP-BC
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
DHMC DEPARTMENT OF NEONATOLOGY
LEBANON, NH
ZIP 03756
Phone: (603) 650-7256
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MRS. Carolyn Marie Penrose, NNP-BC is a neonatal nurse practitioner in Lebanon, NH. MRS. Carolyn Marie Penrose, NNP-BC NPI is 1356763643. 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:

1 MEDICAL CENTER DR
DHMC DEPARTMENT OF NEONATOLOGY
LEBANON, NH
ZIP 03756-000
Phone: (603) 650-7256

The NPI 1356763643 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 1/6/2014 and was last updated on 5/5/2017.

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	363LN0000X	Nurse Practitioner	Neonatal	068840-23	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1022696	MEDICAID	VERMONT
2	3095009	MEDICAID	NEW HAMPSHIRE

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: 4/28/2024

NPI Synchronization or Removal

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