Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 09000304A | IN |
NPI | 1053813501 |
---|---|
Provider Name | Barbara M. Purnell |
First Address | Brazil, IN 47834-7499 |
Second Address | Brazil, IN 47834-7499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2018 |
Last Update Date | 01/03/2018 |