Timothy R Penniston, FNP-C

NPI #1144243692 in Overgaard, Arizona

Provider Information

NPI Number
1144243692
Entity Type
Individual
Name
Timothy R Penniston, FNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-C
Enumeration Date
Jul 25, 2006
Last Updated
Feb 9, 2024

Practice Location

Address
2352 QUARTER HORSE TRL
State
Arizona
ZIP Code
85933-5319
Phone
(928) 535-3616

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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