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Individual
MRS. PENNY L HOUSEMAN
Active
Individual
MRS. PENNY L HOUSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71005194A
IN
363LF0000X
Family Nurse Practitioner
Primary
APRN11011390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000899250
ANTHEM
IN
05
—
0117645
—
OH
05
—
201258910
—
IN
Enumeration date
10/08/2014
Last updated
03/27/2024
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