Individual provider · Type 1 NPI

Paula Lynn Pengilly, FNP

Family Nurse Practitioner · Thief River Falls, MN

NPI number 1306839865 Active

Practice location

17807 US Hwy 59 NE, Rose Medical Management
Thief River Falls, MN 56701-5670

Call (361) 413-5179 Map

Mailing address

3461 37th St NE
Inkster, ND 58233-9306

Other practice locations

  • 100 County Road B, Shawano, WI 54166-7072 · (715) 524-2161
  • 42 Dallas Hill Rd, Rangeley, ME 04970-4032 · (207) 864-3303

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP91014 (ME)

Family Nurse Practitioner: Definition to come...

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About NPI 1306839865

Paula Lynn Pengilly, FNP's National Provider Identifier is 1306839865, issued on Aug 30, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Thief River Falls, MN. The record was last updated on Dec 4, 2020.