Individual
DONNA J PURVIANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
355 W 16TH ST STE 5100, INDIANAPOLIS, IN 46202-2274
(317) 396-1300
(317) 924-8472
Mailing address
355 W 16TH ST STE 5100, INDIANAPOLIS, IN 46202-2274
(317) 396-1300
(317) 924-8472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003014A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00834683
RAILROAD MEDICARE
IN
Enumeration date
09/15/2009
Last updated
08/04/2016
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