Purtell, Mildred Maurillo

Purtell, Mildred Maurillo is an sole proprietor health care provider with primary practice located at 203 Dartmouth Dr , Midland MI 48640-4513. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Purtell, Mildred Maurillo can be contacted via phone (989) 839-2311.

Contact Information

Primary practice address
203 Dartmouth Dr Midland MI 48640-4513
Phone: (989) 839-2311
Fax: (800) 336-0596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703101031 Michigan

Profile Details

NPI number 1144867102
LBN Legal business name Purtell, Mildred Maurillo
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2019
Last updated Nov 27th, 2023 - about 2 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 1144867102 NPPES
Michigan MEDICAID 4703101031

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