Therapia - Mary Penner, PC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

AP091053 Issued in ME

Legal business name

THERAPIA - MARY PENNER, PC

Practice address

12 Industrial Pkwy
Brunswick, ME 04011-7314

Phone

(207) 844-2045

Fax

(204) 837-6951

NPI assigned

Dec 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Penner, NP-C

Title

Nurse Practitioner

Phone

(207) 844-2045

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1760927792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 INDUSTRIAL PKWY",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117314",
            "telephone_number": "207-844-2045",
            "fax_number": "204-837-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 INDUSTRIAL PKWY",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117314",
            "telephone_number": "207-844-2045",
            "fax_number": "204-837-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPIA - MARY PENNER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "207-844-2045",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "AP091053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tedford Housing- Community Homeless Prevention
• Tedford Housing-Everett St. Project
• Michael G Tenenbaum, DMD
• Sarah Thacher, LCSW, LADC
• Ellen H Theodores, LCSW
• Paige Noelle Thibeault, FNP
• Thomas J. Augat, D.C., P.a.
• Emily Lorraine Thomas
• Kathryn W Thomas, PHD
• Megan Thompson

• Nursing Facility/Intermediate Care Facility in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Nursing Facility/Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.