Individual provider · Type 1 NPI

Kimberly S. Penland, FNP-BC, P.H.D.

Nurse Practitioner · Fort Wayne, IN

NPI number 1467443036 Active

Practice location

5110 N Clinton St
Fort Wayne, IN 46825-5720

Call (260) 469-6605 Map

Fax (260) 969-3066

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	71001183A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467443036

Kimberly S. Penland, FNP-BC, P.H.D.'s National Provider Identifier is 1467443036, issued on Nov 2, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 14, 2022.