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Maritta Penegor, NP-BC
NPI 1205947983 · Nurse Practitioner · Dyer, IN
Maritta Penegor, NP-BC is a Nurse Practitioner provider in Dyer, IN (NPI 1205947983).
Provider details
- NPI number
- 1205947983
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 70000040A (IN)
Practice location
24 Joliet St
Suite 401
Dyer, IN 46311-1705
Phone: (219) 865-0893
Fax: (219) 865-3599
Street-level locationGet directions
Mailing address
3615 Park Dr
Olympia Fields, IL 60461-1186
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.