Doctor Name: | MRS. ELLEN STEWART MURRAY |
NPI Number: | 1003806225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP03701 |
Business Practice Address: | 920 Oliver Rd Suite 1600b Monroe, LA - 712015702 |
Business Phone Number: | 3183276224 |
Business Fax Number: | 3183276222 |
Mailing Address: | 110 Dupont Cir, WEST MONROE |
State: | LA |
Postal Code: | 712914715 |
Phone Number: | 3183961401 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP03701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |