Penner, Terry Lynn

Penner, Terry Lynn is an sole proprietor health care provider with primary practice located at 3514 N Power Rd Ste 127 , Mesa AZ 85215-2911. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Penner, Terry Lynn can be contacted via phone (480) 571-8460.

Contact Information

Primary practice address
3514 N Power Rd Ste 127 Mesa AZ 85215-2911
Phone: (480) 571-8460
Fax: (480) 571-8461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP-1086 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN066900 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP-1086 Arizona

Profile Details

NPI number 1669450508
LBN Legal business name Penner, Terry Lynn
Credentials MS ANP-C ACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2005
Last updated Apr 13th, 2019 - about 7 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 1669450508 NPPES
Arizona MEDICAID 584947

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