PENNY FOSSMAN APRN RN NPI 1891117545

NPI Information

  • NPI: 1891117545
  • Provider Name: PENNY FOSSMAN, APRN, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 44 S MAIN ST
    RANDOLPH, VT
    ZIP 05060
  • Phone: (802) 728-7000

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NPI Details

Penny Fossman, APRN, RN is a psychiatric/mental health nurse practitioner in Randolph, VT. Penny Fossman, APRN, RN NPI is 1891117545. 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:

44 S MAIN ST
RANDOLPH, VT
ZIP 05060
Phone: (802) 728-7000

The NPI 1891117545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/15/2014 and was last updated on 4/5/2019.

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
1163W00000XRegistered NurseNUR R 33273ALASKANo
2163W00000XRegistered Nurse026.0137896VERMONTNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health101.0134278VERMONTYes

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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