Shirley A Penney in St Ansgar - Physician Assistant
Shirley A Penney - NPI 1417049032
Shirley A Penney is a Physician Assistant in St Ansgar, Iowa. Shirley A Penney practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shirley A Penney is 1417049032. The last update date is 2007-07-08.
Shirley A Penney's current location address is 140 W 4th St, St Ansgar, Iowa. You can contact this provider via phone number 6417364401 and fax number 6417134977. The mailing address for Shirley A Penney is 140 W 4th St, St Ansgar, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley A Penney |
|---|---|
| Address | 140 W 4th St, St Ansgar, Iowa |
| Phone Number | 6417364401 |
| Fax Number | 6417134977 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1417049032 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 140 W 4th St |
|---|---|
| City | St Ansgar |
| State | Iowa (IA) |
| Post Code | 504720000 |
| Phone Number | 6417364401 |
| Fax Number | 6417134977 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 866 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10819 | IA | WELLMARK |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shirley A Penney by the Centers for Medicare & Medicaid Services?
The Shirley A Penney has been issued the NPI (National Provider Identifier) 1417049032, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shirley A Penney is physically located?
The Shirley A Penney is physically situated at the following address: 140 W 4Th St, St Ansgar, IA, 504720000.
What is Shirley A Penney's area of expertise and its corresponding taxonomy classification?
The Shirley A Penney's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1417049032 to Shirley A Penney?
The Centers for Medicare & Medicaid Services assigned the 1417049032 to Shirley A Penney on 2006-09-29.
As of what date was the information regarding Shirley A Penney, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shirley A Penney, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.