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Maritta A Penegor, NP-BC
Nurse Practitioner in Dyer, Indiana
NPI 1205947983

Maritta A Penegor is a Nurse Practitioner based in Olympia Fields, IN. Maritta A Penegor practices in Dyer, IN and has the professional credentials of NP-BC. The NPI Number for Maritta A Penegor is 1205947983 and holds a License No. 70000040A (Indiana).

The current practice location address for Maritta A Penegor is 24 Joliet St, Dyer, IN and can be reached out via phone at 219-865-0893 and via fax at 219-865-3599.

Location: 24 Joliet St, Dyer, IN, 60461-1186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205947983
Provider Name
Maritta A Penegor
Credential
NP-BC
Provider Entity Type
Individual
Gender
Female
Address
24 Joliet St, Dyer, IN, 60461-1186
Phone Number
219-865-0893
Fax Number
219-865-3599
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00150268 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
24 Joliet St
City
Dyer
State
Indiana
Zip
46311-1705
Phone Number
219-865-0893
Fax Number
219-865-3599
person
Provider Business Mailing Address Details
Address
24 Joliet St
City
Dyer
State
Indiana
Zip
46311-1705
Phone Number
219-865-0893
Fax Number
219-865-3599
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
70000040A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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