Individual
TERESA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24 N MAIN ST, PETERSBURG, WV 26847-1518
(304) 257-1044
(304) 257-2681
Mailing address
HC 84 BOX 90, LAHMANSVILLE, WV 26731-9700
(304) 749-7000
(304) 257-2681
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
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