IndividualActive
Penny Mayo, RN, CDCES
NPI 1134464738 · Diabetes Educator Registered Nurse · Moses Lake, WA
Provider details
- NPI number
- 1134464738
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN, CDCES
- Sex
- Female
- Sole proprietor
- No
- License
- RN00165575 (WA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
1550 S Pioneer Way
Moses Lake, WA 98837-4613
Phone: (509) 793-9780
Fax: (509) 764-3246
Approximate (ZIP-level) locationGet directions
Mailing address
660 S Coolidge St
Moses Lake, WA 98837-1872
Additional practice locations (1)
- 801 E Wheeler RdMoses Lake, WA 98837-1820Phone: (509) 765-5606Fax: (509) 764-3244
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.