Maritta A Penegor is a Dyer, Indiana based nurse practitioner. Active license number of Maritta A Penegor is 70000040A in Indiana. Her current practice location is 24 Joliet St, Suite 401, Dyer. Patients can reach her at 219-865-0893 or can fax her at 219-865-3599. Maritta A Penegor is NP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1205947983. Maritta A Penegor has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Maritta A Penegor speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Maritta A Penegor
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP-BC
Practice Address:
24 Joliet St, Suite 401, Dyer, Indiana, 46311-1705
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1205947983
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
27 Sep, 2007
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maritta A Penegor are as mentioned below.
License Number
Specialization
State
Status
70000040A
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Maritta A Penegor such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00150268
Other
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Maritta A Penegor 3615 Park Dr, Suite 203 Olympia Fields, Illinois
Zip:
60461-1186
Phone Number:
708-748-9800
Fax Number:
708-748-9807
Patients can reach Maritta A Penegor at 24 Joliet St, Suite 401, Dyer, Indiana or can call to book an appointment on 219-865-0893.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.