Maritta A Penegor, NP-BC

NPI #1205947983 in Dyer, Indiana

Provider Information

NPI Number
1205947983
Entity Type
Individual
Name
Maritta A Penegor, NP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP-BC
Enumeration Date
Aug 31, 2006
Last Updated
Sep 27, 2007

Practice Location

Address
24 JOLIET ST
Address 2
SUITE 401
City
Dyer
State
Indiana
ZIP Code
46311-1705
Phone
(219) 865-0893

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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