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NPI Code Detail

MEDICARE: MAGEN RENEE PURVIS APRN

MEDICARE: MAGEN RENEE PURVIS APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11042775FL

General Provider Information

NPI Number : 1861330961
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGEN RENEE PURVIS APRN
Provider Business Mailing Address
First Line : PO BOX 2821
Second Line :
City : ONECO
State : FL
Zip : 34264-2821
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 3RD AVE W STE 210
Second Line :
City : BRADENTON
State : FL
Zip : 34205-8633
Country : US
Telephone Number : 941-792-0340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ MAGEN RENEE PURVIS APRN” Practice Location

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