# MRS. CAROLYN MARIE PENROSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356763643
- **Gender:** F
- **Credential:** NNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | 068840-23 | NH | — |
| 363LN0000X | Neonatal Nurse Practitioner | 5010739 | NC | Yes |

## Other

- **Enumeration date:** 01/06/2014
- **Last updated:** 12/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1022696 | — | VT |
| 05 | — | 3095009 | — | NH |