Organization
SLEEPWERX, LLC
Active
Other names
SleepWerx, LLC, Terry Lynn Penner
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY LYNN PENNER MS, ANP-C, ACNP-BC (ADULT/ACUTE CARE NURSE PRACTITIONER)
(480) 571-8460
Entity
Organization
Contact information
Practice address
4320 E BROWN RD STE 104, MESA, AZ 85205-4081
(480) 571-8460
(480) 571-8461
Mailing address
4320 E BROWN RD STE 104, MESA, AZ 85205-4081
(480) 571-8460
(480) 571-8461
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
584947
MEDICAID
AZ
05
—
584947
—
AZ
Enumeration date
03/13/2019
Last updated
09/07/2021
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