Individual provider · Type 1 NPI
Penny Fossman, APRN, RN
Psychiatric/Mental Health Nurse Practitioner · Randolph, VT
NPI number
1891117545
Active
Practice location
44 S Main St
Randolph, VT 05060
Mailing address
PO Box 1716
Haines, AK 99827-1716
Other practice locations
- 131 First Avenue, Haines, AK 99827 · (907) 766-6300
- 44 S Main St, Randolph, VT 05060 · (802) 728-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | NUR R 33273 (AK) |
| Registered Nurse | 163W00000X | 026.0137896 (VT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 101.0134278 (VT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
87 other providers at this address
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- Gifford Medical Center IncCritical Access Hospital Randolph, VT NPI 1730199647
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Other psychiatric/mental health nurse practitioner providers in Randolph
About NPI 1891117545
Penny Fossman, APRN, RN's National Provider Identifier is 1891117545, issued on Jan 15, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Randolph, VT. The record was last updated on Apr 5, 2019.