MEDICARE: KAREN E PENNINGS CNP

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	A065986	IA

General Provider Information

NPI Number	:	1588660203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN E PENNINGS CNP

Provider Business Mailing Address
First Line	:	926 N 8TH ST
Second Line	:
City	:	ESTHERVILLE
State	:	IA
Zip	:	51334-1300
Country	:	US
Telephone Number	:	712-362-6501
Fax Number	:	712-362-7190

Provider Business Practice Location Address
First Line	:	926 N 8TH ST
Second Line	:
City	:	ESTHERVILLE
State	:	IA
Zip	:	51334
Country	:	US
Telephone Number	:	712-362-6501
Fax Number	:	712-362-7190

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	01/05/2024

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