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Individual

MICHAEL L PURDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
1248 KINNEYS LN, PORTSMOUTH, OH 45662-2994
(740) 356-7290
(740) 356-7972
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.18971
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0162967
OH
05
7100411280
KY
Enumeration date
04/07/2016
Last updated
08/23/2024
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