Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEDDY ALLEN PENNYPACKER, RN
ActiveTEDDY ALLEN PENNYPACKER, RN is a Case Management Nurse healthcare provider located in PRYOR, Oklahoma. NPI 1073020897 is currently active in the NPPES registry. Verify at CMS.
Case Management Nurse · PRYOR, OK
Registration Details
- NPI Number
- 1073020897
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2018 (8.6463221510463 yrs)
- Last Updated
- Jan 2, 2018
- License
-
0058244 (OK)
Practice Information
- Address
-
231 E GRAHAM AVEPRYOR, OK, 743612436Browse OK providers · Browse ZIP 74361
- Phone
- 9188251405
- Fax
- 9188251406
- Primary Specialty
-
Case Management Nurse
163WC0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.