MEDICARE: VICTORIA PURSLEY N.P.

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	207Q00000X	Family Medicine Physician	133956	MA
2	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	133956	MA
3	363LA2200X	Adult Health Nurse Practitioner	133956	MA

General Provider Information

NPI Number	:	1205949229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA PURSLEY N.P.

Provider Business Mailing Address
First Line	:	12 CANDLEWOOD LN APT 1-8
Second Line	:
City	:	DENNIS PORT
State	:	MA
Zip	:	02639-1334
Country	:	US
Telephone Number	:	508-292-6022
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 CANDLEWOOD LN APT 1-8
Second Line	:
City	:	DENNIS PORT
State	:	MA
Zip	:	02639-1334
Country	:	US
Telephone Number	:	508-292-6022
Fax Number	:

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	09/11/2025

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Directions to “ VICTORIA PURSLEY N.P.” Practice Location

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