MEDICARE: DENISE ANN MURRAY DNP, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP3459	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1174857908	OTHER		NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174857908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE ANN MURRAY DNP, FNP-BC

Provider Business Mailing Address
First Line	:	2036 N GILBERT RD STE 2-484
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-2115
Country	:	US
Telephone Number	:	480-844-0335
Fax Number	:	480-844-7238

Provider Business Practice Location Address
First Line	:	2855 E BROWN RD
Second Line	:	#18
City	:	MESA
State	:	AZ
Zip	:	85213-4213
Country	:	US
Telephone Number	:	480-844-0335
Fax Number	:	480-844-7238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2009
Last Update Date	:	06/20/2016

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