Individual
PENNY TALCOTT MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
1550 S PIONEER WAY, MOSES LAKE, WA 98837-4613
(509) 793-9780
(509) 764-3246
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN00165575
WA
163WS0200X
School Registered Nurse
RN00165575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040700
—
WA
Enumeration date
12/07/2012
Last updated
04/28/2021
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