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NPI Profile for PAUL PFENNIG in SIDNEY, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Adult Health |
364SA2200X | 89 | Certified Clinical Nurse Specialist | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner |
| NPI Number | 1043503113 |
|
| Status | Active | |
| Credentials | ACNS-BC, FNP-BC, ANP | |
| Entity | Individual | |
| Enumeration date | 05/24/2011 | |
| Last updated | 08/17/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PAUL PFENNIG
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PAUL PFENNIG, ACNS-BC, FNP-BC, ANP