Crom, Penny Sue

Crom, Penny Sue is an individual health care provider with primary practice located at Dept #0861 , Denver CO 80256-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crom, Penny Sue can be contacted via phone (186) 689-8713.

Contact Information

Primary practice address
Dept #0861 Denver CO 80256-0001
Phone: (186) 689-8713
Fax: (616) 975-9824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 119700 Colorado

Profile Details

NPI number 1245283795
LBN Legal business name Crom, Penny Sue
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 3rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245283795 NPPES
Colorado MEDICAID 28989856
Colorado Other 930063846

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