Kimberly S Penland in Fort Wayne - Nurse Practitioner
Kimberly S Penland - NPI 1467443036
Kimberly S Penland is a Nurse Practitioner in Fort Wayne, Indiana. Kimberly S Penland practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kimberly S Penland is 1467443036. The last update date is 2022-10-14.
Kimberly S Penland's current location address is 5110 N Clinton St, Fort Wayne, Indiana. You can contact this provider via phone number 2604696605 and fax number 2609693066. The mailing address for Kimberly S Penland is 5110 N Clinton St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly S Penland |
|---|---|
| Address | 5110 N Clinton St, Fort Wayne, Indiana |
| Phone Number | 2604696605 |
| Fax Number | 2609693066 |
| Sole Proprietor | N |
| Credentials | FNP-BC, P. |
NPI Number Detail
| NPI Number | 1467443036 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2022-10-14 |
Provider Mailing Address Detail
| Address | 5110 N Clinton St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468255720 |
| Phone Number | 2604696605 |
| Fax Number | 2609693066 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71001183A |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500024449 | IN | RR MEDICARE | |
| 368990 | IN | ANTHEM | |
| 200329110 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kimberly S Penland by the Centers for Medicare & Medicaid Services?
The Kimberly S Penland has been assigned the NPI (National Provider Identifier) 1467443036 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kimberly S Penland's facilities are geographically located?
The facilities of Kimberly S Penland are physically situated at the following location: 5110 N Clinton St, Fort Wayne, IN, 468255720.
What is Kimberly S Penland's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kimberly S Penland is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Kimberly S Penland receive its 1467443036 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly S Penland was assigned its 1467443036 by the Centers for Medicare & Medicaid Services on 2005-11-02.
As of what date was the information regarding Kimberly S Penland, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly S Penland, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-10-14.