Latasha R Purvis


Address: 10400 Mallard Creek Rd, Suite 210, Charlotte, NC 28262-9772

Latasha R Purvis (NPI# 1588834030, PAC ID# 9436225562) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1588834030
PAC ID by PECOS 9436225562
Professional Enrollment ID I20080913000110
Full Name Latasha R Purvis
Address 10400 Mallard Creek Rd
Suite 210
Charlotte
NC 28262-9772
Gender F
Graduation Year 2007
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
10400 Mallard Creek Rd, Suite 210, Charlotte, NC 28262-9772

Organization Information

Office Location

Street Address 10400 MALLARD CREEK RD
SUITE 210
City CHARLOTTE
State NC
Zip 28262-9772

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Tamilarasi Kannan Internal Medicine Novant Medical Group Inc 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308
Jenna Leigh Baker Nurse Practitioner Novant Medical Group Inc 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308
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Find all physicians in zip 28262

Competitor

Search similar physicians

City CHARLOTTE
Zip Code 28262
Specialty NURSE PRACTITIONER
City + Specialty CHARLOTTE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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