Purcell, Theresa Ann

Purcell, Theresa Ann is an individual health care provider with primary practice located at 695 N Clyde Morris Blvd , Daytona Beach FL 32114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Purcell, Theresa Ann can be contacted via phone (386) 258-8722.

Contact Information

Primary practice address
695 N Clyde Morris Blvd Daytona Beach FL 32114
Phone: (386) 258-8722
Fax: (386) 258-8659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP866892 Florida

Profile Details

NPI number 1548239874
LBN Legal business name Purcell, Theresa Ann
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548239874 NPPES
Florida MEDICAID 303870000

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