Healthcare Provider Details

I. General information

NPI: 1295645083
Provider Name (Legal Business Name): ALEXIS MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 N MAIN ST
RICHFIELD UT
84701-2129
US

IV. Provider business mailing address

271 NORTH MAIN STREET 275 NORTH MAIN ST.
EPHRAIM UT
84627
US

V. Phone/Fax

Practice location:
  • Phone: 435-283-4690
  • Fax: 435-283-4689
Mailing address:
  • Phone: 435-283-4690
  • Fax: 435-283-4689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: