Individual
ANITA PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
Mailing address
3116 SARASOTA AVE, PANAMA CITY, FL 32405-5610
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5159561
FL
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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