Healthcare Provider Details

I. General information

NPI: 1881277044
Provider Name (Legal Business Name): ALEXA LEIGH MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 THORNDIKE ST
PALMER MA
01069-1501
US

IV. Provider business mailing address

1001 THORNDIKE ST
PALMER MA
01069-1501
US

V. Phone/Fax

Practice location:
  • Phone: 978-368-7631
  • Fax:
Mailing address:
  • Phone: 978-368-7631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2317357
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2317357
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: