Individual
PENNY MERREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2491 BRANDERMILL PL, CHARLOTTESVILLE, VA 22911-8252
(434) 654-4413
Mailing address
2491 BRANDERMILL PL, CHARLOTTESVILLE, VA 22911-8252
(434) 654-4413
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001100997
VA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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