Individual
PENNELOPE H FEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
9550 UPLAND LN N STE 100, MAPLE GROVE, MN 55369-4482
(763) 772-9820
(763) 537-6666
Mailing address
2104 NORTHDALE BLVD NW STE 220, MR 10809, MINNEAPOLIS, MN 55433-3046
(763) 537-2000
(763) 537-6666
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RO 76345-7
MN
Other
Enumeration date
03/23/2006
Last updated
11/10/2020
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