Individual
ROBERT G PURSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9515
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007154A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71007154A
IN
Other
Enumeration date
05/22/2017
Last updated
09/23/2022
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