Provider Demographics
NPI:1588660203
Name:PENNINGS, KAREN E (CNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:PENNINGS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ESTHERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:51334-1300
Mailing Address - Country:US
Mailing Address - Phone:712-362-6501
Mailing Address - Fax:712-362-7190
Practice Address - Street 1:926 N 8TH ST
Practice Address - Street 2:
Practice Address - City:ESTHERVILLE
Practice Address - State:IA
Practice Address - Zip Code:51334
Practice Address - Country:US
Practice Address - Phone:712-362-6501
Practice Address - Fax:712-362-7190
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA065986363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD500029603Medicare PIN
SDS100314Medicare PIN
SD6827760Medicaid
SD500029600Medicare PIN
P14825Medicare UPIN