Doctor Name: | KAREN E PENNINGS |
NPI Number: | 1588660203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | A065986 |
Business Practice Address: | 1101 9th St Se Sioux Center, IA - 512502501 |
Business Phone Number: | 7127222609 |
Business Fax Number: | 7127228426 |
Mailing Address: | 1101 9th St Se, SIOUX CENTER |
State: | IA |
Postal Code: | 512502501 |
Phone Number: | 7127222609 |
Fax Number: | 7127228426 |
NPI Enumeration Date: | 06/27/2005 |
NPI Last Update Date: | 11/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A065986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |