Douglas R. Penington in Bellevue - Nurse Practitioner
Douglas R. Penington - NPI 1679634588
Douglas R. Penington is a Nurse Practitioner in Bellevue, Nebraska. Douglas R. Penington practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Douglas R. Penington is 1679634588. The last update date is 2017-10-30.
Douglas R. Penington's current location address is 12717 S 28th Ave, Bellevue, Nebraska. You can contact this provider via phone number 4022926006 and fax number 4022927465. The mailing address for Douglas R. Penington is 12717 S 28th Ave, Bellevue, Nebraska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Douglas R. Penington |
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Address | 12717 S 28th Ave, Bellevue, Nebraska |
Phone Number | 4022926006 |
Fax Number | 4022927465 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1679634588 |
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Provider Enumeration Date | 2006-12-13 |
Last Updated Date | 2017-10-30 |
Provider Mailing Address Detail
Address | 12717 S 28th Ave |
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City | Bellevue |
State | Nebraska (NE) |
Post Code | 681233232 |
Phone Number | 4022926006 |
Fax Number | 4022927465 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 110593 |
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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What is the unique 10-digit identification code assigned to Douglas R. Penington by the Centers for Medicare & Medicaid Services?
The Douglas R. Penington has been issued the NPI (National Provider Identifier) 1679634588, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Douglas R. Penington's facilities are situated?
The facilities of Douglas R. Penington are physically located at the following address: 12717 S 28Th Ave, Bellevue, NE, 681233232.
What is Douglas R. Penington's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas R. Penington is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did Douglas R. Penington receive its 1679634588 assignment from the Centers for Medicare & Medicaid Services?
The Douglas R. Penington was assigned its 1679634588 on 2006-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Douglas R. Penington, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Douglas R. Penington, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-10-30.