Provider Demographics
NPI:1962761759
Name:PURRINGTON, DALE (MSN, RN, PNP-AC)
Entity type:Individual
Prefix:
First Name:DALE
Middle Name:
Last Name:PURRINGTON
Suffix:
Gender:F
Credentials:MSN, RN, PNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 980530
Mailing Address - Street 2:MAIN HOSPITAL, 7TH FLR, RM 7-067
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0530
Mailing Address - Country:US
Mailing Address - Phone:804-828-4987
Mailing Address - Fax:804-628-2138
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:MAIN HOSPITAL, 7TH FLR, RM 7-067
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-4987
Practice Address - Fax:804-628-2138
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA20111212363LA2100X
VA0024164306363LP0200X
VA0001142388364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics