Provider Demographics
NPI:1033576483
Name:PURKETT, HANNAH SEARS (PA)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:SEARS
Last Name:PURKETT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:SEARS
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:916 DEADWOOD LOOP
Mailing Address - Street 2:ELLSWORTH AFB
Mailing Address - City:BOX ELDER
Mailing Address - State:SD
Mailing Address - Zip Code:57706
Mailing Address - Country:US
Mailing Address - Phone:207-752-7871
Mailing Address - Fax:
Practice Address - Street 1:87 RUMFORD ST
Practice Address - Street 2:#2
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4442
Practice Address - Country:US
Practice Address - Phone:207-752-7871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-15
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant