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NPI Code Detail

MEDICARE: WENDY MURRAY NP

MEDICARE: WENDY MURRAY NP
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
1363LA2200XAdult Health Nurse PractitionerA2666SC
2363LA2200XAdult Health Nurse Practitioner2666SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01478436OTHERSCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32666OTHERSCSC MEDICAL BOARD

General Provider Information

NPI Number : 1326011552
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY MURRAY NP
Provider Business Mailing Address
First Line : 6416 OLD WINTER GARDEN RD
Second Line :
City : ORLANDO
State : FL
Zip : 32835-1348
Country : US
Telephone Number : 407-751-7288
Fax Number : 407-770-0661
Provider Business Practice Location Address
First Line : 101 ORCHARD PARK DR
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3531
Country : US
Telephone Number : 864-729-6609
Fax Number : 855-617-4426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 11/23/2021

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