Healthcare Provider Details

I. General information

NPI: 1497675219
Provider Name (Legal Business Name): REBECCA LOUISE MURRAY
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 MARSH AVE STE 200
RENO NV
89509-1651
US

IV. Provider business mailing address

204 MARSH AVE STE 200
RENO NV
89509-1651
US

V. Phone/Fax

Practice location:
  • Phone: 320-905-4345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number13241-M
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: