Penny Petersen in Mitchell - Nurse Practitioner
Penny Petersen - NPI 1114907979
Penny Petersen is a Nurse Practitioner in Mitchell, South Dakota. Penny Petersen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Penny Petersen is 1114907979. The last update date is 2010-02-26.
Penny Petersen's current location address is 525 N Foster St, Mitchell, South Dakota. You can contact this provider via phone number 6059952000. The mailing address for Penny Petersen is 525 N Foster St, Mitchell, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Petersen |
|---|---|
| Address | 525 N Foster St, Mitchell, South Dakota |
| Phone Number | 6059952000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114907979 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2010-02-26 |
Provider Mailing Address Detail
| Address | 525 N Foster St |
|---|---|
| City | Mitchell |
| State | South Dakota (SD) |
| Post Code | 573012966 |
| Phone Number | 6059952000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 437 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6831840 | SD | -- | |
| S1639 | SD | MEDICARE PTAN |
Post Comment/ Review Below
What is the Penny Petersen's 1114907979?
The Penny Petersen's NPI (National Provider Identifier) Number is 1114907979. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Penny Petersen's physical address?
The Penny Petersen is physically located at 525 N Foster St, in the city of Mitchell, SD, with the postal code 573012966.
What is the Penny Petersen's area of specialization and corresponding taxonomy classification?
The Penny Petersen's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When did Penny Petersen receive its 1114907979 assignment?
The Penny Petersen was assigned its 1114907979 on 2006-01-18, which is the date when this unique identifier was issued to the organization.
When was the Penny Petersen's information last updated?
The Penny Petersen's information was last updated on 2010-02-26.