SAMALA J PENALVER NP NPI 1386977072

NPI Information

NPI: 1386977072
Provider Name: SAMALA J PENALVER, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
202 N DIVISION ST STE 300
AUBURN, WA
ZIP 98001
Phone: (253) 876-7990
Get Directions

Samala J Penalver, NP is a women's health nurse practitioner in Auburn, WA. Samala J Penalver, NP NPI is 1386977072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

202 N DIVISION ST STE 300
AUBURN, WA
ZIP 98001-939
Phone: (253) 876-7990

The enumeration date for this NPI number is 9/11/2009 and was last updated on 10/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	420949	NEW YORK	No
2	363L00000X	Nurse Practitioner		AP60370850	WASHINGTON	No
3	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	AP60370850	WASHINGTON	No
4	363LW0102X	Nurse Practitioner	Women's Health	AP60370850	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03398510	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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