- Practice location
- 44 S Main St, Randolph, VT 05060
- Phone
- 802-728-7000
- Fax
- —
- Last updated
- April 5, 2019
Penny Fossman is a Nurse Practitioner, Psych/Mental Health based in Randolph, VT. Penny Fossman practices in Randolph, VT and has the professional credentials of APRN, RN. The NPI Number for Penny Fossman is 1891117545 and holds a License No. NUR R 33273 (AK). The current practice location address for Penny Fossman is 44 S Main St, Randolph, VT 05060 and can be reached out via phone at 802-728-7000.
Provider Profile Details
- NPI Number
- 1891117545
- Provider Name
- Penny Fossman
- Credential
- APRN, RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 44 S Main St, Randolph, VT 05060
- Phone Number
- 802-728-7000
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 15, 2014
- Last Update Date
- April 5, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 44 S Main St
Randolph, VT 05060 - City
- Randolph
- State
- Vermont
- Zip
- 05060
- Phone Number
- 802-728-7000
Provider Business Mailing Address Details
- Address
- Po Box 1716
Haines, AK 99827-1716 - City
- Haines
- State
- AK
- Zip
- 99827-1716
- Phone Number
- 907-314-0525
License Information
- License Number (1)
- NUR R 33273
- License State (1)
- AK
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 026.0137896
- License State (2)
- VT
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- 101.0134278
- License State (3)
- VT
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Randolph, VT
View all Nurse Practitioner, Psych/Mental Health providers in Randolph →- Meghan KetchamNurse Practitioner, Psych/Mental Health · NPI 1659120012
- Eva Linden, NPNurse Practitioner, Family · NPI 1720429145
- Dr. Cristine J Maloney, MDInternal Medicine, Hospice and Palliative Medicine · NPI 1972787273
- Eileen Chanin, BSCommunity Health Worker · NPI 1528970845
- Lydia M Deflorio, APRN, CNMMidwife · NPI 1609698497
- Kalysta Martel, BACommunity Health Worker · NPI 1447165527
Frequently Asked Questions
What is the NPI number of Penny Fossman, APRN, RN?
The NPI number of Penny Fossman, APRN, RN is 1891117545. It was assigned on January 15, 2014 and is currently active in the NPPES registry.
What is the specialty of Penny Fossman, APRN, RN?
Penny Fossman, APRN, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in AK under license number NUR R 33273.
Where does Penny Fossman, APRN, RN practice?
The practice location is 44 S Main St, Randolph, VT 05060. The office can be reached at 802-728-7000 (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 1891117545 directly on the NPPES registry website.