Mrs. Paula L Pengilly, FNP
Nurse Practitioner, Family in Thief River Falls, Minnesota
1306839865- Practice location
- 17807 US Hwy 59 NE, Rose Medical Management, Thief River Falls, MN 56701-5670
- Phone
- 361-413-5179
- Fax
- —
- Last updated
- December 4, 2020
Paula Lynn Pengilly is a Nurse Practitioner, Family based in Thief River Falls, MN. Paula Lynn Pengilly practices in Thief River Falls, MN and has the professional credentials of FNP. The NPI Number for Paula Lynn Pengilly is 1306839865 and holds a License No. CNP91014 (ME). The current practice location address for Paula Lynn Pengilly is 17807 US Hwy 59 NE, Rose Medical Management, Thief River Falls, MN 56701-5670 and can be reached out via phone at 361-413-5179.
Provider Profile Details
- NPI Number
- 1306839865
- Provider Name
- Paula Lynn Pengilly
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 17807 US Hwy 59 NE, Rose Medical Management, Thief River Falls, MN 56701-5670
- Phone Number
- 361-413-5179
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 30, 2005
- Last Update Date
- December 4, 2020
- Certification Date
- December 2, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17807 US Hwy 59 NE
Rose Medical Management
Thief River Falls, MN 56701-5670 - State
- Minnesota
- Zip
- 56701-5670
- Phone Number
- 361-413-5179
Provider Business Mailing Address Details
- Address
- 3461 37TH St NE
Inkster, ND 58233-9306 - City
- Inkster
- State
- ND
- Zip
- 58233-9306
License Information
- License Number
- CNP91014
- License State
- ME
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Thief River Falls, MN
View all Nurse Practitioner, Family providers in Thief River Falls →Frequently Asked Questions
What is the NPI number of Mrs. Paula L Pengilly, FNP?
The NPI number of Mrs. Paula L Pengilly, FNP is 1306839865. It was assigned on August 30, 2005 and is currently active in the NPPES registry.
What is the specialty of Mrs. Paula L Pengilly, FNP?
Mrs. Paula L Pengilly, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP91014.
Where does Mrs. Paula L Pengilly, FNP practice?
The practice location is 17807 US Hwy 59 NE, Rose Medical Management, Thief River Falls, MN 56701-5670. The office can be reached at 361-413-5179 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306839865 directly on the NPPES registry website.