Individual
STACY DAWN PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
827 E COLONIAL AVE, STE B, MOSES LAKE, WA 98837-4644
(509) 765-0674
(509) 764-0193
Mailing address
PO BOX 2525, MOSES LAKE, WA 98837-0752
(509) 707-0212
(509) 707-0214
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP60826389
WA
Other
Enumeration date
12/13/2017
Last updated
04/16/2021
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