MEDICARE: MICHELLE MARIE PURSLEY PNP

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
1	363LP0200X	Pediatric Nurse Practitioner	95012429	CA

General Provider Information

NPI Number	:	1851947147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MARIE PURSLEY PNP

Provider Business Mailing Address
First Line	:	400 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4353
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 BATH ST FL 2
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4324
Country	:	US
Telephone Number	:	805-879-4240
Fax Number	:	805-879-2864

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2019
Last Update Date	:	01/16/2026

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