MEDICARE: KATHERINE PENEBRE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	244958	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	244958	OTHER	CA	LICENSE NUMBER

General Provider Information

NPI Number	:	1477669174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE PENEBRE NP

Provider Business Mailing Address
First Line	:	880 CASS ST
Second Line	:	SUITE 209
City	:	MONTEREY
State	:	CA
Zip	:	93940-2947
Country	:	US
Telephone Number	:	831-642-6266
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 CASS ST
Second Line	:	SUITE 209
City	:	MONTEREY
State	:	CA
Zip	:	93940-2947
Country	:	US
Telephone Number	:	831-642-6266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	02/15/2026

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Directions to “ KATHERINE PENEBRE NP” Practice Location

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