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NPI Code Detail

MEDICARE: ASHLEY MURRAY LPN

MEDICARE:   ASHLEY  MURRAY  LPN
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 Nurse043111278IL

General Provider Information

NPI Number : 1770028854
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MURRAY LPN
Provider Business Mailing Address
First Line : 2002 E LONGSHORE PL
Second Line :
City : PEORIA HEIGHTS
State : IL
Zip : 61616-4430
Country : US
Telephone Number : 309-201-1167
Fax Number :
Provider Business Practice Location Address
First Line : 2002 E LONGSHORE PL
Second Line :
City : PEORIA HEIGHTS
State : IL
Zip : 61616-4430
Country : US
Telephone Number : 309-201-1167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2016
Last Update Date : 12/29/2016

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Directions to “ ASHLEY MURRAY LPN” Practice Location

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