Mr Charles Robert Purdy Jr, RN is a
Registered Nurse based in House Springs, Missouri. Mr Charles Robert Purdy Jr is licensed to practice in Missouri (license number 2003026652) and his current practice location is
5667 Mark Trl, House Springs, Missouri. He can be reached at his office (for appointments etc.) via phone at
(727) 776-5948.
NPI number for Mr Charles Robert Purdy Jr is 1134374309 and his current mailing address is 5667 Mark Trl, House Springs, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134374309.
Provider's Profile
Full Name | Mr Charles Robert Purdy Jr |
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Gender | Male |
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Speciality | Registered Nurse |
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Location | 5667 Mark Trl, House Springs, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134374309
- Provider Enumeration Date: 12/01/2008
- Last Update Date: 12/01/2008
Medical Identifiers
Medical identifiers for Mr Charles Robert Purdy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134374309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R51609 (New Mexico) | Secondary |
163W00000X | Registered Nurse | RN9245172 (Florida) | Secondary |
163W00000X | Registered Nurse | 635760 (California) | Secondary |
163W00000X | Registered Nurse | 2003026652 (Missouri) | Primary |
163W00000X | Registered Nurse | 1104666 (Kentucky) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles Robert Purdy Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Charles Robert Purdy Jr, RN 5667 Mark Trl, House Springs, MO 63051-2240 Ph: (727) 776-5948 | Mr Charles Robert Purdy Jr, RN 5667 Mark Trl, House Springs, MO 63051-2240 Ph: (727) 776-5948 |
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