Individual
PENNY MCEVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
340 BANTAM RD, LITCHFIELD, CT 06759-3318
(860) 567-9493
(860) 567-3933
Mailing address
4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002616
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
002616
CT
Other
Enumeration date
08/09/2006
Last updated
11/30/2021
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