Danette Pengilly is a Gerontology in Bismarck, North Dakota. Danette Pengilly practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Danette Pengilly is 1013016989. The last update date is 2008-02-29.
Danette Pengilly's current location address is 310 N 10th St, Bismarck, North Dakota. You can contact this provider via phone number 7015307500 and fax number 7015307484. The mailing address for Danette Pengilly is 310 N 10th St, Bismarck, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Danette Pengilly |
|---|---|
| Address | 310 N 10th St, Bismarck, North Dakota |
| Phone Number | 7015307500 |
| Fax Number | 7015307484 |
| Sole Proprietor | N |
| Credentials | GNP-C |
NPI Number Detail
| NPI Number | 1013016989 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
| Address | 310 N 10th St |
|---|---|
| City | Bismarck |
| State | North Dakota (ND) |
| Post Code | 585014516 |
| Phone Number | 7015307500 |
| Fax Number | 7015307484 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | R23780 |
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Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1013016989 | NPI | ||
| P00209023 | ND | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Danette Pengilly by the Centers for Medicare & Medicaid Services?
The Danette Pengilly has been assigned the NPI (National Provider Identifier) 1013016989. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Danette Pengilly's facilities are geographically located?
The facilities of Danette Pengilly are physically situated at the following location: 310 N 10Th St, Bismarck, ND, 585014516.
What is the Danette Pengilly's area of specialization and corresponding taxonomy classification?
The Danette Pengilly's specialty field is Gerontology, and it falls under the taxonomy code 363Lg0600X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013016989 to Danette Pengilly?
The Centers for Medicare & Medicaid Services originally issued the 1013016989 to Danette Pengilly on 2006-09-21.
As of what date was the information regarding Danette Pengilly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Danette Pengilly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-29.