MEDICARE: LEE ANN MURRAY FNP

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	28188566A	IN

General Provider Information

NPI Number	:	1265286215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE ANN MURRAY FNP

Provider Business Mailing Address
First Line	:	316 E BEECH ST
Second Line	:
City	:	SULLIVAN
State	:	IN
Zip	:	47882-1303
Country	:	US
Telephone Number	:	812-564-0931
Fax Number	:

Provider Business Practice Location Address
First Line	:	2723 S 7TH ST
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47802-3584
Country	:	US
Telephone Number	:	812-232-8164
Fax Number	:

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

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	05/13/2024

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