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NPI Code Detail

MEDICARE: CYNTHIA LYNN MURRAY

MEDICARE:   CYNTHIA LYNN MURRAY
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
1164W00000XLicensed Practical NurseLP029417AZ

General Provider Information

NPI Number : 1386118370
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA LYNN MURRAY
Provider Business Mailing Address
First Line : 5631 N 35TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-2316
Country : US
Telephone Number : 602-336-2631
Fax Number :
Provider Business Practice Location Address
First Line : 5631 N 35TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-2316
Country : US
Telephone Number : 602-336-2631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2019
Last Update Date : 01/14/2019

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Directions to “ CYNTHIA LYNN MURRAY ” Practice Location

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