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Individual

MS. CYNTHIA JANE PURDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
15 OSPREY CIR, CHICO, CA 95928-8897
(707) 332-8696
Mailing address
15 OSPREY CIR, CHICO, CA 95928-8897
(707) 332-8696

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
429679
CA
163WC0400X
Case Management Registered Nurse
429679
CA
163WG0600X
Gerontology Registered Nurse
429679
CA
163WH0200X
Home Health Registered Nurse
429679
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
429679
CA
163WW0000X
Wound Care Registered Nurse
429679
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
429679
BOARD OF REGISTERED NURSING
CA
01
C0164137
DEPT. OF MOTOR VEHICLES
CA
Enumeration date
09/22/2022
Last updated
09/22/2022
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