Individual provider · Type 1 NPI

Timothy R. Penniston, FNP-C

Family Nurse Practitioner · Show Low, AZ

NPI number 1144243692 Active

Practice location

4951 S White Mountain Rd Bldg A
Show Low, AZ 85901-7827

Fax (928) 537-9634

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP3433 (AZ)

Family Nurse Practitioner: Definition to come...

44 other providers at this address

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About NPI 1144243692

Timothy R. Penniston, FNP-C's National Provider Identifier is 1144243692, issued on Jul 25, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Show Low, AZ. The record was last updated on Aug 7, 2026.