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NPI Code Detail

MEDICARE: MORGAN MURRAY APRN

MEDICARE: MORGAN MURRAY APRN
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
1363LP0200XPediatric Nurse Practitioner3010821KY

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 : 1629520473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN MURRAY APRN
Provider Business Mailing Address
First Line : PO BOX 487
Second Line :
City : ELKTON
State : KY
Zip : 42220-0487
Country : US
Telephone Number : 270-886-8840
Fax Number : 270-886-8869
Provider Business Practice Location Address
First Line : 713 W MAIN ST
Second Line :
City : ELKTON
State : KY
Zip : 42220-9229
Country : US
Telephone Number : 270-265-5353
Fax Number : 270-265-5350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2016
Last Update Date : 04/10/2020

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