Healthcare Provider Details

I. General information

NPI: 1770066961
Provider Name (Legal Business Name): SANDRA PURCELL MSN, RN CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

30 SHATTUCK RD UNIT 4212
ANDOVER MA
01810-2481
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-8379
  • Fax: 352-294-8098
Mailing address:
  • Phone: 413-265-5282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95032513
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number7849
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN11043110
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN264027
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: