Savage, Pennie Dalton
Savage, Pennie Dalton is an individual health care provider with primary practice located at 9715 Healthway Dr , Berlin MD 21811-3500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Savage, Pennie Dalton can be contacted via phone (410) 548-2343.Contact Information
Primary practice address
9715 Healthway Dr
Berlin MD 21811-3500
Phone: (410) 548-2343
Fax: (844) 332-3891
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R135131 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R135131 | Maryland |
Profile Details
NPI number | 1013097583 |
---|---|
LBN Legal business name | Savage, Pennie Dalton |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2006 |
Last updated | Apr 24th, 2020 - 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 | 1013097583 | NPPES |
Virginia | MEDICAID | 1013097583 | |
Virginia | Other | 613653401 | |
Virginia | Other | 145576ZBS6 |
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