Healthcare Provider Details

I. General information

NPI: 1255296836
Provider Name (Legal Business Name): MYRELLA MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37-39 NORFOLK ST
NEWARK NJ
07103-3427
US

IV. Provider business mailing address

37-39 NORFOLK ST
NEWARK NJ
07103-3427
US

V. Phone/Fax

Practice location:
  • Phone: 551-574-7992
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number889711
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: