Individual
MRS. MARCY MARIE PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGPC-NP
Contact information
Practice address
8333 NAAB RD, INDIANAPOLIS, IN 46260-5924
(317) 338-6666
Mailing address
8333 NAAB RD, INDIANAPOLIS, IN 46260-5924
(317) 338-6666
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71009503A
IN
Other
Enumeration date
10/23/2019
Last updated
01/09/2025
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