Individual
DR. NICOLE E PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS013904
PA
2084N0400X
Neurology Physician
OT011196
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102310702
—
PA
01
—
2107959
BLUE SHIELD
—
Enumeration date
04/19/2007
Last updated
09/22/2018
Update your record
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