| Doctor Name: | DONNA J PURVIANCE |
| NPI Number: | 1013240597 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 71003014A |
| Business Practice Address: | 1739 N 4th St Terre Haute, IN - 478044002 |
| Business Phone Number: | 8122423125 |
| Business Fax Number: | 8122423446 |
| Mailing Address: | 221 S 6th St, TERRE HAUTE |
| State: | IN |
| Postal Code: | 478074214 |
| Phone Number: | 8122423125 |
| Fax Number: | 8122423446 |
| NPI Enumeration Date: | 09/15/2009 |
| NPI Last Update Date: | 08/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71003014A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |