Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carley Danielle Pennecke

Individual provider Physician Assistant · NPI 1386348589

Carley Danielle Pennecke is a Physician Assistant in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2023.

Licensed in
CT
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6147 (CT)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386348589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

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