Healthcare Provider Details

I. General information

NPI: 1700333119
Provider Name (Legal Business Name): CATHERINE KENT-MURTAUGH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 10/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 W 3RD STREET
TEMPE AZ
85281
US

IV. Provider business mailing address

1000 CORPORATE CENTRE DR STE 160
FRANKLIN TN
37067-2686
US

V. Phone/Fax

Practice location:
  • Phone: 480-524-1600
  • Fax:
Mailing address:
  • Phone: 615-721-7024
  • Fax: 800-266-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8863
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: