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NPI Code Detail

MEDICARE: MS. MARY ANNE CHRISTINE MURRAY ARNP

MEDICARE: MS. MARY ANNE CHRISTINE MURRAY ARNP
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
1363LF0000XFamily Nurse PractitionerAP30006352WA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP30006352WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
191160757610OTHERKPS
27576MUOTHERREGENCE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699854299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ANNE CHRISTINE MURRAY ARNP
Provider Business Mailing Address
First Line : 2204 PACIFIC AVE N
Second Line :
City : LONG BEACH
State : WA
Zip : 98631-3300
Country : US
Telephone Number : 360-642-3787
Fax Number : 360-642-2096
Provider Business Practice Location Address
First Line : 2204 PACIFIC AVE N
Second Line :
City : LONG BEACH
State : WA
Zip : 98631-3300
Country : US
Telephone Number : 360-642-3787
Fax Number : 360-642-2096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 12/23/2014

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