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MS. MICHELLE ANN PURDHAM RN
Addiction (Substance Use Disorder) >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1649602558
Individual Registrant:MS. MICHELLE ANN PURDHAM RN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3680 WARWICK RD EAST NEW MARKET, MD 21631-1420 US
Tel: 410-253-4788 Fax: 410-943-0667
Tel: 410-253-4788 Fax: 410-943-0667
Contact information for business:
3680 WARWICK RD EAST NEW MARKET, MD 21631-1420 US
Tel: 410-253-4788 Fax: 410-943-0667
Tel: 410-253-4788 Fax: 410-943-0667
Registration Information:
NPI: 1649602558
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WA0400X | Nursing Service Providers Registered Nurse Addiction (Substance Use Disorder) | MD | R136249 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
