Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY R PENNISTON, FNP-C
ActiveTIMOTHY R PENNISTON, FNP-C is a Family Nurse Practitioner healthcare provider located in OVERGAARD, Arizona. NPI 1144243692 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · OVERGAARD, AZ
Registration Details
- NPI Number
- 1144243692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.045535466357 yrs)
- Last Updated
- Feb 9, 2024
- License
-
AP3433 (AZ)
Practice Information
- Address
-
2352 QUARTER HORSE TRLOVERGAARD, AZ, 859335319Browse AZ providers · Browse ZIP 85933
- Phone
- 9285353616
- Fax
- 9285322156
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in OVERGAARD, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. KELLY MARCUM | NP | 1619973930 |
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.