Healthcare Provider Details

I. General information

NPI: 1861424467
Provider Name (Legal Business Name): CHERI A MURRY ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10001 LILE DR
LITTLE ROCK AR
72205-6217
US

IV. Provider business mailing address

10001 LILE DR
LITTLE ROCK AR
72205-6217
US

V. Phone/Fax

Practice location:
  • Phone: 51-227-8000
  • Fax: 501-221-5850
Mailing address:
  • Phone: 51-227-8000
  • Fax: 501-221-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA01169
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: