Individual
EMERALD ILY MAE PENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-1009
Mailing address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28294685A
IN
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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