Healthcare Provider Details

I. General information

NPI: 1376878686
Provider Name (Legal Business Name): ANGELA MURRY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 ARNOLD DR STE 125
MARTINEZ CA
94553-4189
US

IV. Provider business mailing address

1340 ARNOLD DR STE 125
MARTINEZ CA
94553-4189
US

V. Phone/Fax

Practice location:
  • Phone: 925-405-2111
  • Fax:
Mailing address:
  • Phone: 925-405-2111
  • Fax: 925-521-5639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code167G00000X
TaxonomyLicensed Psychiatric Technician
License NumberPT 32122
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number95168261
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: