Healthcare Provider Details

I. General information

NPI: 1649391186
Provider Name (Legal Business Name): PATRICE ANNE MURRAY DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 W GROVE ST
ARLINGTON HEIGHTS IL
60005-1759
US

IV. Provider business mailing address

908 W GROVE ST
ARLINGTON HEIGHTS IL
60005-1759
US

V. Phone/Fax

Practice location:
  • Phone: 847-767-6894
  • Fax:
Mailing address:
  • Phone: 847-767-6894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number041206411
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209-001618
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: