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NPI Code Detail

MEDICARE: DR. CARMEN LATRICE MURRAY APRN

MEDICARE:  DR. CARMEN LATRICE 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner209027139IL
2163W00000XRegistered Nurse041392796IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11740084185OTHERILNPI2

General Provider Information

NPI Number : 1801437629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARMEN LATRICE MURRAY APRN
Provider Business Mailing Address
First Line : 6811 COOLRIDGE RD
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-2705
Country : US
Telephone Number : 240-539-7929
Fax Number :
Provider Business Practice Location Address
First Line : 401 POST OFFICE RD STE 101
Second Line :
City : WALDORF
State : MD
Zip : 20602-2738
Country : US
Telephone Number : 240-539-7929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2019
Last Update Date : 02/03/2026

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Directions to “ DR. CARMEN LATRICE MURRAY APRN” Practice Location

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