Penrose, Karen C

Penrose, Karen C is an individual health care provider with primary practice located at 900 Mohawk St Ste E , Savannah GA 31419-1768. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Penrose, Karen C can be contacted via phone (912) 925-0067.

Contact Information

Primary practice address
900 Mohawk St Ste E Savannah GA 31419-1768
Phone: (912) 925-0067
Fax: (912) 927-0267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X RN101568 Georgia
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X RN101568 Georgia
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X RN101568 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN101568 Georgia

Profile Details

NPI number 1003907478
LBN Legal business name Penrose, Karen C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 31st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003907478 NPPES
Georgia Other 341107 WELLCARE NUMBER
Georgia Other 10053251 WELLCARE NUMBER
Georgia MEDICAID 000741606C WELLCARE NUMBER
Georgia MEDICAID 000741606E WELLCARE NUMBER
Georgia MEDICAID 000741606F WELLCARE NUMBER
Georgia Other 3311616 WELLCARE NUMBER
Georgia MEDICAID 000741606D WELLCARE NUMBER

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