Mary Purtle CRNA

NPI 1679770630 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1679770630
Gender Female
Enumeration Date 07/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
550 PEACHTREE ST NE
ATLANTA GA, 30308-2247, US
Phone (404) 686-2316
Fax (404) 686-4949
Business Location
1025 EMORY PARC PL
DECATUR GA, 30033-4043, US
Phone (404) 467-8314
Fax (404) 686-4949
Toxanomy
Taxonomy Code 367500000X
License State Georgia
License Number RN167371
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According to our database, Mary Purtle CRNA NPI is 1679770630, taxonomy code is 367500000X and license number is RN167371, license state is located at Georgia. Mary Purtle CRNA physically located at 550 Peachtree St Ne, Atlanta GA, 30308-2247. NPI Number Mary Purtle CRNA has the Individual type.

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1679770630 NPI number is provided on an as is basis without warranty of any kind. 1679770630 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Purtle CRNA are for informational purposes only.