MEDICARE: KATHLEEN A MURRAY CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	ARNP3343872	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881684322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN A MURRAY CRNA

Provider Business Mailing Address
First Line	:	2721 DEL PRADO BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-5781
Country	:	US
Telephone Number	:	239-242-8010
Fax Number	:	239-242-8020

Provider Business Practice Location Address
First Line	:	2721 DEL PRADO BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-5781
Country	:	US
Telephone Number	:	239-242-8010
Fax Number	:	239-242-8020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	07/08/2007

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Directions to “ KATHLEEN A MURRAY CRNA” Practice Location

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