Individual
KRISTEN BROWN PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
121B MULLBERRY LN, IVA, SC 29655-8783
(864) 314-2601
Mailing address
121B MULLBERRY LN, IVA, SC 29655-8783
(864) 314-2601
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
236607
SC
163WC1500X
Community Health Registered Nurse
Primary
236607
SC
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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