Nancy Carol Purcell, CAT
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Edgewater, FL
NPI 1174094874 · NPPES record last updated Dec 7, 2018
Key facts
- NPI
- 1174094874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2945 Pine Tree Dr
Edgewater, FL 32141-5617 - Phone
- (954) 805-6775
- Fax
- (386) 409-5193
- NPI assigned
- Dec 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2945 Pine Tree Dr
Edgewater, FL 32141-5617
Mailing address
2945 Pine Tree Dr
Edgewater, FL 32141-5617
Phone (954) 805-6775
Other names
- Cat Purcell
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.