Individual
MICHELLE L PURCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN
Contact information
Practice address
1075 CHASE PKWY, SUITE A, WATERBURY, CT 06708
(203) 591-3077
(203) 591-3074
Mailing address
1075 CHASE PKWY, SUITE A, WATERBURY, CT 06708
(203) 591-3077
(203) 591-3074
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
E57760
CT
363L00000X
Nurse Practitioner
Primary
002095
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002095
STATE ID
—
05
—
004228054
—
CT
01
—
00422805400
WORKERS COMP
—
01
—
264072
WELLCARE
—
01
—
2V3630
HEALTHNET
—
01
—
3521911693003
EMPLOYER ID
—
01
—
400002095CT01
ANTHEM BCBS
—
01
—
500028949
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
07/16/2014
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