Robert Pennebaker in Fayetteville - Psychiatric/mental Health
Robert Pennebaker - NPI 1609957505
Robert Pennebaker is a Psychiatric/mental Health in Fayetteville, North Carolina. Robert Pennebaker practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Robert Pennebaker is 1609957505. The last update date is 2020-09-24.
Robert Pennebaker's current location address is 2931 Breezewood Ave Ste 104, Fayetteville, North Carolina. You can contact this provider via phone number 9104911134 and fax number 9104919781. The mailing address for Robert Pennebaker is 2931 Breezewood Ave Ste 104, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Pennebaker |
|---|---|
| Address | 2931 Breezewood Ave Ste 104, Fayetteville, North Carolina |
| Phone Number | 9104911134 |
| Fax Number | 9104919781 |
| Sole Proprietor | Y |
| Credentials | PMHNP-BC, |
NPI Number Detail
| NPI Number | 1609957505 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2020-09-24 |
Provider Mailing Address Detail
| Address | 2931 Breezewood Ave Ste 104 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283035281 |
| Phone Number | 9104911134 |
| Fax Number | 9104919781 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 5005524 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert Pennebaker by the Centers for Medicare & Medicaid Services?
The Robert Pennebaker has been assigned the NPI (National Provider Identifier) 1609957505 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Robert Pennebaker's facilities are geographically located?
The facilities of Robert Pennebaker are physically situated at the following location: 2931 Breezewood Ave Ste 104, Fayetteville, NC, 283035281.
What is the area of specialization for Robert Pennebaker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert Pennebaker is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0808X.
On what date did the Robert Pennebaker receive its 1609957505 assignment from the Centers for Medicare & Medicaid Services?
The Robert Pennebaker was assigned its 1609957505 by the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date was the information pertaining to Robert Pennebaker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert Pennebaker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-09-24.