Individual provider · Type 1 NPI
Teadra Pennycooke, CRNP
Primary Care Nurse Practitioner · Carlisle, PA
NPI number
1649746249
Active
Practice location
1 Longsdorf Way
Carlisle, PA 17015-7623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP019459 (PA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1649746249
Teadra Pennycooke, CRNP's National Provider Identifier is 1649746249, issued on Oct 22, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Carlisle, PA. The record was last updated on Nov 29, 2018.