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Individual

MRS. CAROLYN MARIE PENROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF NEONATOLOGY, LEBANON, NH 03756-1000
(603) 650-7256
Mailing address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF NEONATOLOGY, LEBANON, NH 03756-1000
(603) 650-7256

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
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