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NPI Code Detail

MEDICARE: MICHELLE TOMINEY MURDOCK RN

MEDICARE:   MICHELLE TOMINEY MURDOCK  RN
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
1163WH0200XHome Health Registered Nurse6179931-3102UT

General Provider Information

NPI Number : 1578318002
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE TOMINEY MURDOCK RN
Provider Business Mailing Address
First Line : PO BOX 1103
Second Line :
City : WEST JORDAN
State : UT
Zip : 84084-7103
Country : US
Telephone Number : 435-979-1007
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 1103
Second Line :
City : WEST JORDAN
State : UT
Zip : 84084-7103
Country : US
Telephone Number : 435-979-1007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2024
Last Update Date : 04/18/2024

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Directions to “ MICHELLE TOMINEY MURDOCK RN” Practice Location

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