Healthcare Provider Details

I. General information

NPI: 1215665930
Provider Name (Legal Business Name): WENDY MURRAY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 5TH ST SE
CEDAR RAPIDS IA
52401-2158
US

IV. Provider business mailing address

615 5TH ST SE
CEDAR RAPIDS IA
52401-2158
US

V. Phone/Fax

Practice location:
  • Phone: 319-398-3562
  • Fax: 319-398-3501
Mailing address:
  • Phone: 319-398-3562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG171612
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number142824
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: