Mayo, Penny Talcott
Mayo, Penny Talcott is an individual health care provider with primary practice located at 1550 S Pioneer Way , Moses Lake WA 98837-4613. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Nursing Service Providers / School. Nursing Service Providers / Diabetes Educator is her primary health care specialty. Mayo, Penny Talcott can be contacted via phone (509) 793-9780.Contact Information
Primary practice address
1550 S Pioneer Way
Moses Lake WA 98837-4613
Phone: (509) 793-9780
Fax: (509) 764-3246
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Diabetes Educator | 163WD0400X | RN00165575 | Washington |
Nursing Service Providers / School | 163WS0200X | RN00165575 | Washington |
Profile Details
NPI number | 1134464738 |
---|---|
LBN Legal business name | Mayo, Penny Talcott |
Credentials | RN, CDCES |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2012 |
Last updated | Apr 28th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134464738 | NPPES |
Washington | MEDICAID | 2040700 |
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