Andrea L Pennington in Wausau - Physician Assistant
Andrea L Pennington - NPI 1184643413
Andrea L Pennington is a Physician Assistant in Wausau, Wisconsin. Andrea L Pennington practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrea L Pennington is 1184643413. The last update date is 2007-07-08.
Andrea L Pennington's current location address is 3000 Westhill Dr, Wausau, Wisconsin. You can contact this provider via phone number 7158472304. The mailing address for Andrea L Pennington is 3000 Westhill Dr, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea L Pennington |
|---|---|
| Address | 3000 Westhill Dr, Wausau, Wisconsin |
| Phone Number | 7158472304 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1184643413 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3000 Westhill Dr |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 544013795 |
| Phone Number | 7158472304 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1861 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42870300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Andrea L Pennington by the Centers for Medicare & Medicaid Services?
The Andrea L Pennington has been assigned the NPI (National Provider Identifier) 1184643413 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Andrea L Pennington?
The Andrea L Pennington is situated at 3000 Westhill Dr, in the city of Wausau, state of WI, with the zip code 544013795.
What is the Andrea L Pennington's specialty and taxonomy code?
The Andrea L Pennington's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Andrea L Pennington receive the assignment of its 1184643413 from the Centers for Medicare & Medicaid Services?
The Andrea L Pennington was issued its 1184643413 by the Centers for Medicare & Medicaid Services on 2006-07-18.
When was the information pertaining to Andrea L Pennington most recently updated or revised?
The details related to Andrea L Pennington, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1962405167
Address: 4230 Crums Mill Road, Harrisburg, PA