Individual
TERESA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1054915
KY
163W00000X
Registered Nurse
Primary
RN 30513
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054915
NURSING LICENSE
KY
01
—
RN30513
NURSING LICENSE
WV
Enumeration date
07/12/2005
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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