Individual
MISHA CAPRI PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3450 OLD WASHINGTON RD STE 100, WALDORF, MD 20602-3249
(301) 572-3032
Mailing address
207 HILL RD, LANDOVER, MD 20785-4838
(301) 806-3643
(301) 806-3643
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20170472
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
R214060
MD
Other
Enumeration date
06/21/2017
Last updated
10/19/2023
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