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NPI Code Detail

MEDICARE: SEAN PATRICK MURRAY RN, CNS

MEDICARE: SEAN PATRICK MURRAY RN, 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
1364SA2200XAdult Health Clinical Nurse SpecialistCNS0425MN
2364SA2200XAdult Health Clinical Nurse SpecialistR153901-7MN

General Provider Information

NPI Number : 1477836054
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN PATRICK MURRAY RN, CNS
Provider Business Mailing Address
First Line : 909 FULTON ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-4800
Country : US
Telephone Number : 612-672-7422
Fax Number :
Provider Business Practice Location Address
First Line : 909 FULTON ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-4800
Country : US
Telephone Number : 612-672-7422
Fax Number : 612-676-8992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/08/2017

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