Provider Demographics
NPI:1194473579
Name:PURCELL, CAROLINE (MPH)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:PURCELL
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 S 11TH ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1906
Mailing Address - Country:US
Mailing Address - Phone:717-609-5122
Mailing Address - Fax:
Practice Address - Street 1:602 S 11TH ST UNIT 3
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1906
Practice Address - Country:US
Practice Address - Phone:717-609-5122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program