Individual
EILEEN BARBARA PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263
(716) 845-2300
(716) 845-8518
Mailing address
273 DIVISION ST, N TONAWANDA, NY 14120-4631
(716) 693-4440
(716) 693-2448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334918
NY
363LF0000X
Family Nurse Practitioner
F334918-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02857394
—
NY
Enumeration date
01/20/2007
Last updated
02/05/2021
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