Healthcare Provider Details

I. General information

NPI: 1437084092
Provider Name (Legal Business Name): PENNY AUBE LE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1913 DOVER RD
EPSOM NH
03234-4128
US

IV. Provider business mailing address

48 MEADOW LN
NORTHWOOD NH
03261-3850
US

V. Phone/Fax

Practice location:
  • Phone: 603-369-8526
  • Fax:
Mailing address:
  • Phone: 603-369-8526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number321
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: