MEDICARE: ABIGAIL MURDOCH APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN2327652	MA

General Provider Information

NPI Number	:	1144182379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL MURDOCH APRN

Provider Business Mailing Address
First Line	:	3 BUTTONWOOD LN
Second Line	:
City	:	LAKEVILLE
State	:	MA
Zip	:	02347-2466
Country	:	US
Telephone Number	:	857-237-7799
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 BUTTONWOOD LN
Second Line	:
City	:	LAKEVILLE
State	:	MA
Zip	:	02347-2466
Country	:	US
Telephone Number	:	857-237-7799
Fax Number	:

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

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	12/05/2025

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