Individual
MS. CARLA MARIE PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6321 NEW UTRECHT AVE, BROOKLYN, NY 11219
(212) 687-7464
Mailing address
228 STUYVESANT AVE APT 2, BROOKLYN, NY 11221-1730
(917) 815-2326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
752181
NY
164W00000X
Licensed Practical Nurse
Primary
320690
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619361714
—
NY
Enumeration date
03/26/2015
Last updated
07/30/2018
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