Warren Larry Penrod in South Bend - Family
Warren Larry Penrod - NPI 1851590269
Warren Larry Penrod is a Family in South Bend, Indiana. Warren Larry Penrod practices all healthcare services and medical treatments related to Family. The NPI Number for Warren Larry Penrod is 1851590269. The last update date is 2013-06-03.
Warren Larry Penrod's current location address is 333 W. Western Ave, South Bend, Indiana. You can contact this provider via phone number 5742994847 and fax number 5742999073. The mailing address for Warren Larry Penrod is 333 W. Western Ave, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Warren Larry Penrod |
|---|---|
| Address | 333 W. Western Ave, South Bend, Indiana |
| Phone Number | 5742994847 |
| Fax Number | 5742999073 |
| Sole Proprietor | N |
| Credentials | FNP, BC |
NPI Number Detail
| NPI Number | 1851590269 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2013-06-03 |
Provider Mailing Address Detail
| Address | 333 W. Western Ave |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 46601 |
| Phone Number | 5742994847 |
| Fax Number | 5742999073 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 28135343A |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the Warren Larry Penrod's 1851590269?
The Warren Larry Penrod's NPI (National Provider Identifier) Number is 1851590269. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Warren Larry Penrod's facilities are situated?
The facilities of Warren Larry Penrod are physically located at the following address: 333 W. Western Ave, South Bend, IN, 46601.
What is the Warren Larry Penrod's specialty and taxonomy code?
The Warren Larry Penrod's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When did Warren Larry Penrod receive its 1851590269 assignment?
The Warren Larry Penrod was assigned its 1851590269 on 2007-07-16, which is the date when this unique identifier was issued to the organization.
When was the information regarding Warren Larry Penrod most recently updated?
The details pertaining to the Warren Larry Penrod, including its address, specialty, and other relevant information, were last refreshed on 2013-06-03.
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