Healthcare Provider Details

I. General information

NPI: 1710838776
Provider Name (Legal Business Name): ROBIN MARIE MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
US

IV. Provider business mailing address

414 LIGHT ST UNIT 1808
BALTIMORE MD
21202-1280
US

V. Phone/Fax

Practice location:
  • Phone: 305-775-8553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN899541
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9280010
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: