person
Trista Rae Pennington, PA-C
Medical Physician Assistant in Bridgeport, Connecticut
NPI 1376103812

Trista Rae Pennington is a Medical Physician Assistant based in Milford, CT and is specialized in Medical. Trista Rae Pennington practices in Bridgeport, CT and has the professional credentials of PA-C. The NPI Number for Trista Rae Pennington is 1376103812 and holds a License No. 4561 (Connecticut).

The current practice location address for Trista Rae Pennington is 267 Grant St, Bridgeport, CT and can be reached out via phone at 203-988-5187.

Location: 267 Grant St, Bridgeport, CT, 06460-7438
person
Provider Profile Details
NPI Number
1376103812
Provider Name
Trista Rae Pennington
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
267 Grant St, Bridgeport, CT, 06460-7438
Phone Number
203-988-5187
Fax Number
Provider Enumeration Date
06/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
267 Grant St
City
State
Zip
06610-2805
Phone Number
203-988-5187
Fax Number
person
Provider Business Mailing Address Details
Address
267 Grant St
City
State
Zip
06610-2805
Phone Number
203-988-5187
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4561 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
4561 (Connecticut)
Definition
Definition to come...
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