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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNY J MADER, CNP

Active

PENNY J MADER, CNP is a Nurse Practitioner healthcare provider located in PROVO, Utah. NPI 1518247758 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PROVO, UT

Registration Details

NPI Number
1518247758
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2011 (14.948925892133 yrs)
Last Updated
May 24, 2023
Licenses
13327156-4405 (UT)
CNP-01828 (NM)

Practice Information

Address
1055 N 500 W
ATTN CREDENTIALING
PROVO, UT, 84604
Browse UT providers · Browse ZIP 84604
Phone
8013548225
Fax
8014180941
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in PROVO, UT

Name Credential NPI
TRACY CALL-SCHMIDT 1417941196
NANCY TROTTER NP 1881682086
MARSHA K MEDFORD APRN 1215902309
CLARENE TOWNSEND HANSEN FNP 1114985553
RODNEY H NEWMAN NP 1588622013
JAMES CHRISTIAN BIESINGER NP 1205885472
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.