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Individual

TAMMIE LYNN PURCELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(812) 254-2760
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28087269A
IN
367H00000X
Anesthesiologist Assistant
28087269A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1102467731
ANTHEM PTAN
IN
05
200859700
IN
Enumeration date
02/13/2007
Last updated
10/09/2024
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