Mary Catharine Penn in Ponte Vedra - Family
Mary Catharine Penn - NPI 1861488546
Mary Catharine Penn is a Family in Ponte Vedra, Florida. Mary Catharine Penn practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Catharine Penn is 1861488546. The last update date is 2021-02-13.
Mary Catharine Penn's current location address is 400 Colonnade Dr, Ponte Vedra, Florida. You can contact this provider via phone number 9048241020 and fax number 9048245333. The mailing address for Mary Catharine Penn is 400 Colonnade Dr, Ponte Vedra, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Catharine Penn |
|---|---|
| Address | 400 Colonnade Dr, Ponte Vedra, Florida |
| Phone Number | 9048241020 |
| Fax Number | 9048245333 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1861488546 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2021-02-13 |
Provider Mailing Address Detail
| Address | 400 Colonnade Dr |
|---|---|
| City | Ponte Vedra |
| State | Florida (FL) |
| Post Code | 32081 |
| Phone Number | 9048241020 |
| Fax Number | 9048245333 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 2849942 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3050408-00 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Catharine Penn by the Centers for Medicare & Medicaid Services?
The Mary Catharine Penn has been issued the NPI (National Provider Identifier) 1861488546 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mary Catharine Penn is physically located?
The Mary Catharine Penn is physically situated at the following address: 400 Colonnade Dr, Ponte Vedra, FL, 32081.
What is the Mary Catharine Penn's area of specialization and corresponding taxonomy classification?
The Mary Catharine Penn's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
When was the Mary Catharine Penn's 1861488546 issued?
The Mary Catharine Penn's 1861488546 was issued on 2005-09-27.
When was the information regarding Mary Catharine Penn, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Catharine Penn, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-02-13.
NPI Number: 1528061710
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