Penrose, Ursula

Penrose, Ursula is an individual health care provider with primary practice located at 995 S Clarizz Blvd , Bloomington IN 47401. She recently has 2 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 / Nurse Practitioner is her primary health care specialty. Penrose, Ursula can be contacted via phone (812) 353-3060.

Contact Information

Primary practice address
995 S Clarizz Blvd Bloomington IN 47401
Phone: (812) 353-3060
Fax: (812) 353-3070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71002368A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002368A Indiana

Profile Details

NPI number 1144439506
LBN Legal business name Penrose, Ursula
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated May 8th, 2019 - about 7 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 1144439506 NPPES
Indiana MEDICAID 200860730

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