Healthcare Provider Details

I. General information

NPI: 1841844222
Provider Name (Legal Business Name): AMARIS PATRICE MURRAY CRNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 MARYLAND AVE
BALTIMORE MD
21218-5614
US

IV. Provider business mailing address

9501 BRANCHLEIGH RD
RANDALLSTOWN MD
21133-2056
US

V. Phone/Fax

Practice location:
  • Phone: 443-762-5343
  • Fax: 833-258-3941
Mailing address:
  • Phone: 443-683-6209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR205621
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR205621
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: