Individual
SAMANTHA PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1005 STATE HIGHWAY 16 S, GRAHAM, TX 76450-3835
(940) 282-2512
Mailing address
158 COUNTRY CLUB DR, GRAHAM, TX 76450-2023
(817) 706-5165
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP135309
TX
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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