Individual provider · Type 1 NPI

Carol Pennell, NP

Nurse Practitioner · Syracuse, NY

NPI number 1639212368 Active

Practice location

301 Prospect Ave, Health Office
Syracuse, NY 13203-1807

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X331511 (NY)

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 1639212368

Carol Pennell, NP's National Provider Identifier is 1639212368, issued on Feb 14, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.