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NPI Code Detail

MEDICARE: MICHAEL VINCENT PUROL PMHNP

MEDICARE: MICHAEL VINCENT PUROL PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner71012701AIN

General Provider Information

NPI Number : 1447981543
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL VINCENT PUROL PMHNP
Provider Business Mailing Address
First Line : 620 8TH AVE
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47804-2771
Country : US
Telephone Number : 812-231-8323
Fax Number : 812-231-3718
Provider Business Practice Location Address
First Line : 620 8TH AVE
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47804-2771
Country : US
Telephone Number : 812-231-8323
Fax Number : 812-231-3718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2022
Last Update Date : 03/12/2026

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