Provider Demographics
NPI:1144595158
Name:MCDILL, PENNY RUTH (CBE, CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:RUTH
Last Name:MCDILL
Suffix:
Gender:F
Credentials:CBE, CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 PLANTERS ST
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1823
Mailing Address - Country:US
Mailing Address - Phone:281-491-5818
Mailing Address - Fax:
Practice Address - Street 1:3015 PLANTERS ST
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1823
Practice Address - Country:US
Practice Address - Phone:281-491-5818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula