Individual
PENELYN DARCIE TILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
26176 396TH AVE, MOUNT VERNON, SD 57363-5609
(605) 999-6659
Mailing address
26176 396TH AVE, MOUNT VERNON, SD 57363-5609
(605) 999-6659
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
SD-RN R036156
SD
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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