| Doctor Name: | TIMOTHY S. PURDY |
| NPI Number: | 1053312496 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | TP004084B |
| Business Practice Address: | 1602 Ford Ave Cumberland, MD - 215024612 |
| Business Phone Number: | 3017594544 |
| Business Fax Number: | 3017234446 |
| Mailing Address: | 1602 Ford Ave, CUMBERLAND |
| State: | MD |
| Postal Code: | 215024612 |
| Phone Number: | 3017594544 |
| Fax Number: | 3017234446 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | TP004084B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |