MEDICARE: MONICA CHRISTINE MURRAY FNP-C

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	363LF0000X	Family Nurse Practitioner	671197	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	D07564	OTHER	TX	MEDICARE RR PALMETTO
5	DQ5280	OTHER	TX	MEDICARE RR PALMETTO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699724724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA CHRISTINE MURRAY FNP-C

Provider Business Mailing Address
First Line	:	2606 KIMBERLY DR
Second Line	:
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-2624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7460 WARREN PKWY
Second Line	:	SUITE 160
City	:	FRISCO
State	:	TX
Zip	:	75034-4169
Country	:	US
Telephone Number	:	817-251-8719
Fax Number	:

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	07/21/2011

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Directions to “ MONICA CHRISTINE MURRAY FNP-C” Practice Location

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