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NPI Code Detail

MEDICARE: NATHAN PURDUE

MEDICARE:   NATHAN  PURDUE
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
1103TC1900XCounseling Psychologist03357KS

General Provider Information

NPI Number : 1467340083
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN PURDUE
Provider Business Mailing Address
First Line : 543 LAWRENCE AVE STE C
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-4217
Country : US
Telephone Number : 785-424-7770
Fax Number : 833-527-8323
Provider Business Practice Location Address
First Line : 543 LAWRENCE AVE STE C
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-4217
Country : US
Telephone Number : 785-424-7770
Fax Number : 833-527-8323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2025
Last Update Date : 01/29/2026

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Directions to “ NATHAN PURDUE ” Practice Location

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