Individual
SUSAN M PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM, PMHNP-BC
Contact information
Practice address
15 OLD ROLLINSFORD RD STE 102, DOVER, NH 03820-2869
(603) 742-5252
Mailing address
6 OLD ROCHESTER RD STE 203, DOVER, NH 03820-2028
(603) 605-8268
(603) 802-5099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11001441
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
065254-23
NH
367A00000X
Advanced Practice Midwife
Primary
APRN11001441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102553000
—
FL
Enumeration date
01/28/2016
Last updated
04/18/2025
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