Individual
TAMMIE LYNN PURCELL
Active
Individual
TAMMIE LYNN PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
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
Update your record
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