Mccormick, Ursula Sue
Mccormick, Ursula Sue is an individual health care provider with primary practice located at 645 S Rogers St , Bloomington IN 47403-2353. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mccormick, Ursula Sue can be contacted via phone (812) 339-1691.Contact Information
Primary practice address
645 S Rogers St
Bloomington IN 47403-2353
Phone: (812) 339-1691
Fax: (812) 337-2438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | 70000019A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 70000019A | Indiana |
| Nursing Service Providers / Registered Nurse | 163W00000X | 28114646 | Indiana |
Profile Details
| NPI number | 1689658874 |
|---|---|
| LBN Legal business name | Mccormick, Ursula Sue |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Apr 3rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689658874 | NPPES |
| Other | 000000374550 | ANTHEM | |
| MEDICAID | 200110210A | ANTHEM |
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