Individual
MRS. TABITHA PURDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 879-4471
(610) 834-7525
Mailing address
2016 RIDINGS DR, WILLIAMSTOWN, NJ 08094-8700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP05487200
NJ
164W00000X
Licensed Practical Nurse
271101-1
NY
164W00000X
Licensed Practical Nurse
Primary
PN275121
PA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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