Penny R Thayer, FNP
NPI #1790736189 in Mountain Home, Tennessee
Provider Information
- NPI Number
- 1790736189
- Entity Type
- Individual
- Name
- Penny R Thayer, FNP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- May 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- SIDNEY AND LAMONT
- Address 2
- BUILGING 69
- City
- Mountain Home
- State
- Tennessee
- ZIP Code
- 37684
- Phone
- (423) 979-3497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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