Individual
DIANE PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2085 N 63RD STREET, PHILA, PA 19151
(215) 452-0304
(215) 452-0311
Mailing address
2085 N 63RD STREET, PHILA, PA 19151
(215) 452-0304
(215) 452-0311
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN190819L
PA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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