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Contact Information

PENNY T MAYO, RN, CDCES
1550 S PIONEER WAY
MOSES LAKE, WA98837-4613
 Phone: 509-793-9780
 Fax: 509-764-3246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

School

163WS0200X
Indicates primary specialty

NPI Profile & details for PENNY T MAYO · (Female)

NPI # 1134464738
Status Active
Credentials RN, CDCES
Entity Individual
Enumeration date 12/07/2012
Last updated 04/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # RN00165575
  • WA Medicaid 2040700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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