MEDICARE: ANN C MURRAY ANP

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	363LA2200X	Adult Health Nurse Practitioner	RN154373 NP01084	OH
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	0024174707	VA
3	363LA2200X	Adult Health Nurse Practitioner	0024174707	VA

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

General Provider Information

NPI Number	:	1790782795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN C MURRAY ANP

Provider Business Mailing Address
First Line	:	PO BOX 749112
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	545 RAY C HUNT DR STE 1300
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22903-2981
Country	:	US
Telephone Number	:	434-243-5676
Fax Number	:	434-244-9450

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	12/08/2025

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Directions to “ ANN C MURRAY ANP” Practice Location

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