Doctor Name: | PATRICK W DENNING |
NPI Number: | 1285065656 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APN |
License Number: | 18163 |
Business Practice Address: | 189 Mount Pelia Rd Martin, TN - 382373811 |
Business Phone Number: | 7315872202 |
Business Fax Number: | 7319860011 |
Mailing Address: | Po Box 525, HUNTINGDON |
State: | TN |
Postal Code: | 383440525 |
Phone Number: | 7315872202 |
Fax Number: | 7319860011 |
NPI Enumeration Date: | 12/10/2013 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 18163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |