Individual
URSULA PENROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401
(812) 353-3060
(812) 353-3070
Mailing address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5588
(812) 353-3060
(812) 353-3070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002368A
IN
363LW0102X
Women's Health Nurse Practitioner
71002368A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200860730
—
IN
Enumeration date
05/22/2007
Last updated
05/08/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us