Individual
DR. STEPHANIE PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
600 WYNDHURST AVE STE 160, BALTIMORE, MD 21210-2495
(410) 800-3280
Mailing address
600 WYNDHURST AVE STE 160, BALTIMORE, MD 21210-2495
(410) 800-3280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0092627
MD
207Q00000X
Family Medicine Physician
MD210002643
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277241
—
MA
Enumeration date
08/09/2018
Last updated
03/18/2025
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