Provider Demographics
NPI:1225185374
Name:PURKEY, ANNA MARIE (APRN)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARIE
Last Name:PURKEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:OH
Mailing Address - Zip Code:43821-9590
Mailing Address - Country:US
Mailing Address - Phone:740-754-2671
Mailing Address - Fax:740-754-1812
Practice Address - Street 1:304 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:OH
Practice Address - Zip Code:43821-9590
Practice Address - Country:US
Practice Address - Phone:740-754-2671
Practice Address - Fax:740-754-1812
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14809207Q00000X
OH231265363LF0000X
FLARNP9258142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH222952OtherMEDICARE PTAN
FLAD662ZOtherMEDICARE PTAN
OH0089116Medicaid
OH12403161OtherCAQH
FL308321700Medicaid