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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134464738 NPPES
Washington MEDICAID 2040700

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