Individual
ELIZABETH ASHLEY PENNINGTON-TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
35 FACILITY DR, CLYDE, NC 28721-9438
(828) 452-8462
Mailing address
35 FACILITY DR, CLYDE, NC 28721-9438
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024179146
VA
367A00000X
Advanced Practice Midwife
Primary
CNM812
NC
Other
Enumeration date
04/13/2020
Last updated
12/16/2021
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