Timothy R Penniston, FNP-C is a family nurse practitioner in Overgaard, AZ with 23 years of experience. Timothy R Penniston, FNP-C NPI is 1144243692. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2352 QUARTER HORSE TRL
OVERGAARD, AZ
ZIP 85933-319
Phone: (928) 535-3616
Fax: (928) 532-2156
The NPI 1144243692 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/25/2006 and was last updated on 2/9/2024.