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NPI Code Detail

MEDICARE: MICHELLE MURRAY

MEDICARE:   MICHELLE  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
1374U00000XHome Health Aide8391AGZ-0NV

General Provider Information

NPI Number : 1861858417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MURRAY
Provider Business Mailing Address
First Line : 5428 WHISPER BLUFF ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0746
Country : US
Telephone Number : 702-444-7699
Fax Number :
Provider Business Practice Location Address
First Line : 1908 LUDWIG DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-1730
Country : US
Telephone Number : 702-444-7699
Fax Number : 702-444-7699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2016
Last Update Date : 01/12/2016

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Directions to “ MICHELLE MURRAY ” Practice Location

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