Provider Demographics
NPI:1558456582
Name:PENNINGTON, DELIA (MSN-RN-CWHCNP)
Entity Type:Individual
Prefix:MRS
First Name:DELIA
Middle Name:
Last Name:PENNINGTON
Suffix:
Gender:F
Credentials:MSN-RN-CWHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7430 REMCON CIR
Mailing Address - Street 2:BLDG B STE. 100
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3514
Mailing Address - Country:US
Mailing Address - Phone:915-541-1144
Mailing Address - Fax:915-541-1170
Practice Address - Street 1:7430 REMCON CIR
Practice Address - Street 2:BLDG B STE. 100
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3514
Practice Address - Country:US
Practice Address - Phone:915-541-1144
Practice Address - Fax:915-541-1170
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX633069363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology