NPI | 1477012045 |
---|---|
Former Legal Business Name | SLEEPWERX, LLC |
Former Legal Business Name | TERRY LYNN PENNER |
Entity Type | Organization |
Authorized Contact | TERRY LYNN PENNER Adult/Acute Care Nurse Practitioner 480-571-8460 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2019-03-13 |
Last Update Date | 2021-09-07 |