Search › Utah › 363L00000X
Penny Mader, CNP
NPI 1518247758 · on the registry since 2011
Practice
- Address
- 1055 N 500 W
Attn Credentialing
Provo, UT 84604 - Phone
- (801) 354-8225
- Fax
- (801) 418-0941
- Organisation at this address
- Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 236
Additional practice sites
- 355 N Main St, Kanab, UT
- 2450 S Telshor Blvd, Las Cruces, NM
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
- Licence states on file
- UT, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah