Individual
NICOLE PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A. PSYCHOLOGY
Contact information
Practice address
875 E SILVERADO RANCH BLVD APT 2237, LAS VEGAS, NV 89183-5896
(312) 545-0701
Mailing address
875 E SILVERADO RANCH BLVD APT 2237, LAS VEGAS, NV 89183-5896
(312) 545-0701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
251S00000X
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154755262
—
NV
Enumeration date
11/25/2014
Last updated
11/25/2014
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