Healthcare Provider Details

I. General information

NPI: 1568591915
Provider Name (Legal Business Name): WILLIAM O MURRAY APRN, CNS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2007
Last Update Date: 12/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

IV. Provider business mailing address

481 D KAWAILOA RD
KAILUA HI
96734
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-7699
  • Fax:
Mailing address:
  • Phone: 210-748-5058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number51529
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number748838
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: