Healthcare Provider Details

I. General information

NPI: 1326678095
Provider Name (Legal Business Name): STEPHANIE R PENNEY APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 COMMERCIAL ST STE 401
CONCORD NH
03301-5096
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-2598
US

V. Phone/Fax

Practice location:
  • Phone: 603-789-9150
  • Fax: 603-227-7592
Mailing address:
  • Phone: 603-227-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number071669-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: