Basic Information
Provider Information
NPI: 1790833366
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRENNING
FirstName: CINDY
MiddleName: JO
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
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OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 549 DEVONSHIRE DR
Address2:  
City: HOLLIDAYSBURG
State: PA
PostalCode: 166482926
CountryCode: US
TelephoneNumber: 8143177391
FaxNumber:  
Practice Location
Address1: 201 CHESTNUT AVE.
Address2: HOME NURSING AGENCY
City: ALTOONA
State: PA
PostalCode: 16602
CountryCode: US
TelephoneNumber: 8149465411
FaxNumber: 8149411605
Other Information
ProviderEnumerationDate: 01/08/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XSP009137PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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