National Provider Identifier
Courtney S Penn
Courtney S Penn is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) in Geneva, NY and a listed phone number of (315) 835-0826.
Profile Overview
- NPI
- 1215775309
- Provider Type
- Individual
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- July 15, 2024
- Last Updated
- July 15, 2024
Practice Location
- 1128 Bluespruce Cir
- Geneva, NY 14456-1083
Phone: (315) 835-0826
Specialties
- Non-emergency Medical Transport (VAN) (343900000X)
Full Record
- NPI
- 1215775309
- Entity Type
- Individual
- Last Name
- Penn
- First Name
- Courtney
- Middle Name
- S
- Provider Other Last Name
- Fowler
- Provider Other First Name
- Courtney
- Provider Other Middle Name
- S
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1128 Bluespruce Cir
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1083
- Mailing Country
- US
- Mailing Phone
- (315) 835-0826
- Practice Street Address
- 1128 Bluespruce Cir
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1083
- Practice Country
- US
- Practice Phone
- (315) 835-0826
- Enumeration Date
- July 15, 2024
- Last Updated
- July 15, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Non-emergency Medical Transport (VAN) (343900000X)