Individual
PENNY A DUNNING- NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP BC
Contact information
Practice address
401 N MAIN ST, GRAVOIS MILLS, MO 65037-6253
(877) 406-2662
(573) 207-2773
Mailing address
PO BOX 777, RICHLAND, MO 65556-0777
(877) 406-2662
(573) 207-2773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
089531
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30034029
BC/BS CROSS OVER MEDICARE
MO
01
—
323440
FIRST GUARD
MO
01
—
326800
FAMILY HEALTH PARTNERS
MO
05
—
428893804
—
MO
01
—
C168373
MEDICARE B WHEATLANDS
MO
Enumeration date
07/08/2006
Last updated
09/27/2023
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