Healthcare Provider Details

I. General information

NPI: 1891201075
Provider Name (Legal Business Name): MURACIA ALLIANCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/25/2017
Last Update Date: 11/21/2023
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 S CONGRESS AVE
WEST PALM BEACH FL
33406-7608
US

IV. Provider business mailing address

7696 GREAT OAK DR
LAKE WORTH FL
33467-7109
US

V. Phone/Fax

Practice location:
  • Phone: 561-432-5849
  • Fax:
Mailing address:
  • Phone: 561-856-2057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9287286
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9287286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: