person
Mr. Warren Larry Penrod, FNP,BC
Family Nurse Practitioner in South Bend, Indiana
NPI 1851590269

Warren Larry Penrod is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Warren Larry Penrod practices in South Bend, IN and has the professional credentials of FNP,BC. The NPI Number for Warren Larry Penrod is 1851590269 and holds a License No. 28135343A (Indiana).

The current practice location address for Warren Larry Penrod is 333 W. Western Ave, South Bend, IN and can be reached out via phone at 574-299-4847 and via fax at 574-299-9073. You can also correspond with Warren Larry Penrod through the mailing address at 333 W. WESTERN AVE, SOUTH BEND, IN - 46601 (mailing address contact number: 574-299-4847).

Location: 333 W. Western Ave, South Bend, IN, 46601
person
Provider Profile Details
NPI Number
1851590269
Provider Name
Warren Larry Penrod
Credential
FNP,BC
Provider Entity Type
Individual
Gender
Male
Address
333 W. Western Ave, South Bend, IN, 46601
Phone Number
574-299-4847
Fax Number
574-299-9073
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
333 W. Western Ave
City
State
Zip
46601
Phone Number
574-299-4847
Fax Number
574-299-9073
person
Provider Business Mailing Address Details
Address
333 W. Western Ave
City
State
Zip
46601
Phone Number
574-299-4847
Fax Number
574-299-9073
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28135343A (Indiana)
Definition
Definition to come...
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