Individual
MRS. CAROLYN MARIE PENROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
068840-23
NH
363LN0000X
Neonatal Nurse Practitioner
Primary
5010739
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022696
—
VT
05
—
3095009
—
NH
Enumeration date
01/06/2014
Last updated
12/03/2025
Update your record
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