Individual
MRS. PENNI LORRAINE CREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Contact information
Practice address
1424 E 91ST ST, INDIANAPOLIS, IN 46240-1902
(317) 709-3365
Mailing address
12539 PEBBLEPOINTE PASS, CARMEL, IN 46033
(317) 709-3365
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
70000131A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200405980
—
IN
Enumeration date
05/01/2006
Last updated
09/20/2019
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