Pennie Dalton Savage
Nurse Practitioner Nurse Practitioner - Family Medicine
9715 Healthway Dr
Berlin
, Maryland 21811-3500
Pennie Dalton Savage
Nurse Practitioner Nurse Practitioner - Family Medicine
9715 Healthway Dr
Berlin
, Maryland 21811-3500
(844) 332-3891
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Pennie Dalton Savage
- Po Box 3177
- Salisbury, MD
- Zip : 21802-3177
- Fax : (844) 332-3891
- Phone : (410) 548-2343
Second Address
- Pennie Dalton Savage
- 9715 Healthway Dr
- Berlin, MD
- Zip : 21811-3500
- Fax : (844) 332-3891
- Phone : (410) 548-2343
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R135131 | MD |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | R135131 | MD |
National Provider Identifier
| NPI | 1013097583 |
|---|---|
| Provider Name | Pennie Dalton Savage |
| First Address | Salisbury, MD 21802-3177 |
| Second Address | Berlin, MD 21811-3500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 24/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013097583 | (05) | VA |
| 145576ZBS6 | MEDICARE (01) | |
| 613653401 | DEPT OF LABOR (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.