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

Carol Pengshung

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215625397

Carol Pengshung is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

420 Delaware St SE
Minneapolis, MN 55455-0341
Phone: (612) 626-5454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1215625397
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 18, 2023

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