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Individual

SANDRA PURCELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN CPNP-PC

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8379
(352) 294-8098
Mailing address
30 SHATTUCK RD UNIT 4212, ANDOVER, MA 01810-2481
(413) 265-5282

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
7849
CT
363LP0200X
Pediatric Nurse Practitioner
95032513
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11043110
FL
363LP0200X
Pediatric Nurse Practitioner
RN264027
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129129000
FL
Enumeration date
09/13/2018
Last updated
12/11/2025
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