Individual
TABITHA PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 N MAIN AVE, ALBANY, NY 12203-1410
(518) 453-6750
Mailing address
30 N.MAIN AVE, ALBANY, NY 12203
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
673447
NY
Other
Enumeration date
06/12/2014
Last updated
01/26/2015
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