Healthcare Provider Details

I. General information

NPI: 1033777610
Provider Name (Legal Business Name): EMILY ROSE PURSLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 KENYON RD
FORT DODGE IA
50501-5776
US

IV. Provider business mailing address

800 KENYON RD
FORT DODGE IA
50501-5776
US

V. Phone/Fax

Practice location:
  • Phone: 515-574-6658
  • Fax:
Mailing address:
  • Phone: 515-574-6658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD-49209
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-49209
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: