MS. MICHELLE ANN PURDHAM (NPI# 1649602558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649602558 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE ANN PURDHAM |
| Credential | RN |
| Practice Address |
3680 Warwick Rd East New Market MD 21631-1420 |
| Practice Telephone | 4102534788 |
| Practice Fax Number | 4109430667 |
| Mailing Telephone | 4102534788 |
| Mailing Fax Number | 4109430667 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
R136249 | MD | Nursing Service Providers |
| Street Address |
3680 WARWICK RD |
| City | EAST NEW MARKET |
| State | MD |
| Zip Code | 21631-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487691721 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2006-06-02 |
| 1457814212 | Colleen White | Social Worker | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2019-04-09 |
| 1386114197 | Amy Lynn Conneely | Social Worker | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2018-12-05 |
| 1194245431 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2017-06-27 |
| 1366849903 | Warwick Manor Behavioral Health, Inc. | Clinic/Center | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2014-11-25 |
| 1003259151 | Sherri Lynn Vandyke | Registered Nurse | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2013-04-08 |
| 1477896256 | Susan Brown | Licensed Practical Nurse | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2013-04-01 |
| 1366710725 | Sharon Johnson Waters | Counselor | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2011-12-13 |
| 1063780773 | Anthony Brown | Counselor | 3680 Warwick Rd, Warwick Manor Behavior Health, East New Market, MD 21631 | 2011-12-08 |
| 1407123862 | Eleanor Delaine Keating | Counselor | 3680 Warwick Rd, East New Market, MD 21631-1420 | 2011-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043572274 | Amy Todd Bennett | Physical Therapist | 211 Manning Lane, Po Box 25, East New Market, MD 21631 | 2012-06-13 |
| 1841338027 | Joseph Clement Boschulte | Psychiatry & Neurology | 3680 Warwick Road, East New Market, MD 21631 | 2007-02-01 |
| 1043369994 | Warwick Manor Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 3959 Baker Rd, East New Market, MD 21631-1435 | 2007-01-09 |
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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|---|---|---|---|---|
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| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| 1073914487 | Sm Health, LLC | Registered Nurse | 780 W Bel Air Ave Ste C, Aberdeen, MD 21001 | 2014-09-05 |
| 1356630024 | Cassandra Herbert | Registered Nurse | 5026 Dorsey Hall Dr, Suite 205, Ellicott City, MD 21042-7852 | 2011-04-04 |
| 1457683740 | Angela Borrell | Registered Nurse | 103 Williamsport Cir, Salisbury, MD 21804-6472 | 2010-02-11 |
| 1386892552 | Monique Curtis | Registered Nurse | 10 Dunnett Ct, Nottingham, MD 21236-3312 | 2008-08-30 |
| 1477178069 | Zimela Wellness Center, LLC | Registered Nurse | 11602 Bedford Rd Ne, Cumberland, MD 21502-6805 | 2020-06-10 |
| 1922623313 | Ram Recovery | Registered Nurse | 3455 Wilkens Ave Ste 100, Baltimore, MD 21229-5204 | 2020-06-10 |
| 1164077533 | Sylvie Perroud | Registered Nurse | 981 Rollins Ave, Rockville, MD 20852-5615 | 2019-08-02 |
| 1750943767 | Dawn Bellinger | Registered Nurse | 981 Rollins Ave, Rockville, MD 20852-5615 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST NEW MARKET |
| Zip Code | 21631 |
Please comment or provide details below to improve the information on MS. MICHELLE ANN PURDHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.