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

Laura V Pennoni

Individual provider Nurse Practitioner · NPI 1902146608

Laura V Pennoni is a Nurse Practitioner in Royal Oak, Michigan. Qualified in 2009, 17 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2013
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Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-4021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 — (313) 473-1615
  • 44201 Dequindre Rd, Troy, MI 48085-1117 — (248) 964-4130

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704205471 (MI)

Record details

NPI number1902146608
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2013
Last updated in NPPESNovember 11, 2022
Certification dateJuly 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Royal Oak