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Individual

JUDY A PURVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4810 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 474-8988
(850) 476-5312
Mailing address
4828 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 477-8109
(850) 478-2412

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1189042
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009972155
AL
01
059174844
BCBS OF ALABAMA
AL
05
301166600
FL
01
G0885
BCBS OF FLORIDA
FL
01
P00155938
RAILROAD MEDICARE
Enumeration date
10/04/2006
Last updated
04/13/2018
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