Individual
MADELYN PENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
642 HIAWATHA AVE, VADNAIS HEIGHTS, MN 55127-5115
(612) 389-7186
Mailing address
642 HIAWATHA AVE, VADNAIS HEIGHTS, MN 55127-5115
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
174400000X
Specialist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
L-319274
—
Other
Enumeration date
08/12/2024
Last updated
06/30/2025
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