Provider Demographics
NPI:1053526830
Name:PENALVER, MERYL (NP)
Entity type:Individual
Prefix:
First Name:MERYL
Middle Name:
Last Name:PENALVER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:200 BOWMAN DR STE E340
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9636
Practice Address - Country:US
Practice Address - Phone:856-247-7600
Practice Address - Fax:856-247-7575
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2024-09-17
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN07753700363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology