Pennelope H Fearing, ANP Valid NPI
Individual provider · Adult Health Nurse Practitioner · Maple Grove, MN
- NPI
- 1063471381
- Type
- Individual (Type 1)
- Primary specialty
- Adult Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LA2200X
- License number
- RO 76345-7 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-03-23
- Last updated
- 2020-11-10
Practice location
9550 Upland Ln N Ste 100
Maple Grove, MN 55369-4482
(763) 772-9820