Individual
PENNIE DALTON SAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9715 HEALTHWAY DR, BERLIN, MD 21811-3500
(410) 548-2343
(844) 332-3891
Mailing address
PO BOX 3177, SALISBURY, MD 21802-3177
(410) 548-2343
(844) 332-3891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R135131
MD
363LF0000X
Family Nurse Practitioner
Primary
R135131
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013097583
—
VA
01
—
145576ZBS6
MEDICARE
—
01
—
613653401
DEPT OF LABOR
—
Enumeration date
10/17/2006
Last updated
04/24/2020
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