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

PENNY JOHNSRUD, FNP

Active

PENNY JOHNSRUD, FNP is a Family Nurse Practitioner healthcare provider located in GRESHAM, Oregon. NPI 1851317598 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · GRESHAM, OR

Registration Details

NPI Number
1851317598
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2006 (20.039940514968 yrs)
Last Updated
Nov 11, 2011
Licenses
095006656N1 (OR)
AP30005364 (WA)

Practice Information

Address
501 NE HOOD AVE
SUITE 100
GRESHAM, OR, 970307303
Browse OR providers · Browse ZIP 97030
Phone
5037754931
Fax
5037887285
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in GRESHAM, OR

Name Credential NPI
TATYANA J DEMBROW ARNP 1497750715
DEBRA F JOHNSON PNP 1518929405
LAUREL B SHEPPARD FNP 1407802341
MS. JULIE A PROCTOR FNP-BC 1346340361
MARYELLEN HIBBARD FNP 1497954994
GRETA KATHERINE LARSON ARNP 1619204583
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.