| Doctor Name: | PENNELOPE H FEARING |
| NPI Number: | 1063471381 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | RO 76345-7 |
| Business Practice Address: | 9550 Upland Ln N Ste 100 Maple Grove, MN - 553694482 |
| Business Phone Number: | 7637729820 |
| Business Fax Number: | 7635376666 |
| Mailing Address: | 2104 Northdale Blvd Nw Ste 220, Mr 10809 MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554333046 |
| Phone Number: | 7635372000 |
| Fax Number: | 7635376666 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 05/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RO 76345-7 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |