MEDICARE: DAISY MURO

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	363LA2100X	Acute Care Nurse Practitioner	95028839	CA

General Provider Information

NPI Number	:	1215785175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAISY MURO

Provider Business Mailing Address
First Line	:	4230 GUNDRY AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3057
Country	:	US
Telephone Number	:	562-756-0504
Fax Number	:

Provider Business Practice Location Address
First Line	:	4230 GUNDRY AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3057
Country	:	US
Telephone Number	:	562-756-0504
Fax Number	:

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

Provider Enumeration Date	:	05/07/2024
Last Update Date	:	05/07/2024

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Directions to “ DAISY MURO ” Practice Location

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