Penalver, Samala J

Penalver, Samala J is an individual health care provider with primary practice located at 202 N Division St Ste 300 , Auburn WA 98001-4939. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Penalver, Samala J can be contacted via phone (253) 876-7990.

Contact Information

Primary practice address
202 N Division St Ste 300 Auburn WA 98001-4939
Phone: (253) 876-7990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 420949 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60370850 Washington
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP60370850 Washington
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP60370850 Washington

Profile Details

NPI number 1386977072
LBN Legal business name Penalver, Samala J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated Oct 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386977072 NPPES
New York MEDICAID 03398510

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