Indiana University Health Southern Indiana Physicians Urology
Registered Nurse in Bloomington, IN. Organization (NPI-2).
NPI number1942081237
StatusActive
Last updated in NPPESOct 12, 2023
Details
- NPI
- 1942081237
- Entity type
- Organization (NPI-2)
- Legal business name
- Indiana University Health Southern Indiana Physicians Urology
- Organization subpart
- No
- Enumeration date
- Oct 11, 2023
- Certification date
- Oct 12, 2023
- Last updated
- Oct 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | – | – | Yes |
Practice location
1520 S Liberty DrBloomington, IN 47403-5167
Phone 812-676-4300
Mailing address
1520 S Liberty DrBloomington, IN 47403-5167
Phone 812-676-4300
Authorized official
Ashley Shumate
Urology Medial Director
8126764300
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