Michelle R Purville, FNP | |
246 E 4th St, Mount Vernon, NY 10553-1403 | |
(321) 298-5626 | |
Not Available |
Full Name | Michelle R Purville |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 246 E 4th St, Mount Vernon, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164204558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F350337 (New York) | Primary |
Entity Name | Divinity Medical Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497159560 PECOS PAC ID: 5193030245 Enrollment ID: O20150818005362 |
Mailing Address | Practice Location Address |
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Michelle R Purville, FNP 246 E 4th St, Mount Vernon, NY 10553-1403 Ph: (321) 298-5626 | Michelle R Purville, FNP 246 E 4th St, Mount Vernon, NY 10553-1403 Ph: (321) 298-5626 |
Miss Amantha Theodore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552 Phone: 718-920-9000 | |
Mr. Daniel Yaw Boadu, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 W Prospect Ave, Mount Vernon, NY 10550 Phone: 347-419-4321 | |
Marlon Hylton, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Stevens Ave, Mount Vernon, NY 10550 Phone: 914-685-3131 Fax: 914-685-3141 | |
Fosua Agyenim Boateng, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Gramatan Ave Ste 606, Mount Vernon, NY 10550 Phone: 212-961-7299 | |
Mrs. Monica Esmenda Mccalla, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 63 Beechwood Ave, Ph, Mount Vernon, NY 10553 Phone: 914-664-2949 | |
Tahiesha Tolbert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Stevens Ave Ste 4, Mount Vernon, NY 10550 Phone: 914-668-8080 |