Healthcare Provider Details

I. General information

NPI: 1700347853
Provider Name (Legal Business Name): CAROLYN ROSE MURRER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 7TH AVE
BEAVER FALLS PA
15010-4426
US

IV. Provider business mailing address

2509 PLEASANT RUN DR
ROCKINGHAM VA
22801-8720
US

V. Phone/Fax

Practice location:
  • Phone: 724-773-8900
  • Fax: 724-770-7947
Mailing address:
  • Phone: 540-689-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number0101278466
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: