| Doctor Name: | MERYL PENALVER |
| NPI Number: | 1053526830 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 26NN07753700 |
| Business Practice Address: | 2301 E Evesham Rd Suite 602 Voorhees, NJ - 080434501 |
| Business Phone Number: | 8567722066 |
| Business Fax Number: | 8567729159 |
| Mailing Address: | Po Box 536, VOORHEES |
| State: | NJ |
| Postal Code: | 080430536 |
| Phone Number: | 8566696050 |
| Fax Number: | 8566510794 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 26NN07753700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |