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NPI Code Detail

MEDICARE: JANET S. MURDICK RN BC AP PMH/CNS

MEDICARE: JANET S. MURDICK RN BC AP PMH/CNS
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist104279MO

Other Identifiers

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

General Provider Information

NPI Number : 1265419477
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET S. MURDICK RN BC AP PMH/CNS
Provider Business Mailing Address
First Line : 789 COTTAGE ROAD
Second Line :
City : BONNE TERRE
State : MO
Zip : 63628
Country : US
Telephone Number : 573-358-0315
Fax Number :
Provider Business Practice Location Address
First Line : 807 COLLINS DR
Second Line :
City : FESTUS
State : MO
Zip : 63028-2346
Country : US
Telephone Number : 636-931-4206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 07/08/2007

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