MADELYN PENNINGS CLC NPI 1619708641

NPI Information

  • NPI: 1619708641
  • Provider Name: MADELYN PENNINGS, CLC
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 642 HIAWATHA AVE
    VADNAIS HEIGHTS, MN
    ZIP 55127
  • Phone: (612) 389-7186

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NPI Details

Madelyn Pennings, CLC is a specialist in Vadnais Heights, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Madelyn Pennings, CLC NPI is 1619708641. 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:

642 HIAWATHA AVE
VADNAIS HEIGHTS, MN
ZIP 55127-115
Phone: (612) 389-7186

The enumeration date for this NPI number is 8/12/2024 and was last updated on 8/20/2024.

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
1146L00000XEmergency Medical Technician, ParamedicNo
2174400000XSpecialistYes

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: 3/30/2025

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