Individual
PENNY LEE HUNSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1630 LAFAYETTE RD STE 200, CRAWFORDSVILLE, IN 47933
(765) 359-2230
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28147954A
IN
363LA2200X
Adult Health Nurse Practitioner
71008265
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71008265A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018828
—
IN
01
—
71008265A
MEDICAL LICENSE
IN
Enumeration date
07/18/2018
Last updated
08/08/2022
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