| Doctor Name: | KATIE JO RUDNITSKI MURRAY |
| NPI Number: | 1649685546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN CNP |
| License Number: | 195420-7 |
| Business Practice Address: | 16830 198th Avenue Nw Centracare Clinic - Big Lake Big Lake, MN - 553094860 |
| Business Phone Number: | 7632637300 |
| Business Fax Number: | 7632637334 |
| Mailing Address: | 1406 6th Ave N, St Cloud Hospital SAINT CLOUD |
| State: | MN |
| Postal Code: | 563031900 |
| Phone Number: | 3202512700 |
| Fax Number: | 3206567115 |
| NPI Enumeration Date: | 06/30/2014 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 195420-7 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |