Healthcare Provider Details

I. General information

NPI: 1871012765
Provider Name (Legal Business Name): DENAY FUGLIE MURRAY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E ST NW L209
WASHINGTON DC
20520-5712
US

IV. Provider business mailing address

2401 E ST NW L209
WASHINGTON DC
20520-5712
US

V. Phone/Fax

Practice location:
  • Phone: 202-663-1591
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number12643
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA200002201
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: