Pennycooke, Teadra

Pennycooke, Teadra is an individual health care provider with primary practice located at 1 Longsdorf Way , Carlisle PA 17015-7623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Pennycooke, Teadra can be contacted via phone (203) 918-4796.

Contact Information

Primary practice address
1 Longsdorf Way Carlisle PA 17015-7623
Phone: (203) 918-4796
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP019459 Pennsylvania

Profile Details

NPI number 1649746249
LBN Legal business name Pennycooke, Teadra
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2018
Last updated Nov 29th, 2018 - about 6 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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