Doctor Name: | LINDA MURRAY |
NPI Number: | 1861768244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.R.N.P. |
License Number: | SP001205K |
Business Practice Address: | 1240 Route 307 Lake Winola, PA - 186250489 |
Business Phone Number: | 5703783047 |
Business Fax Number: | 5703783418 |
Mailing Address: | Po Box 489, LAKE WINOLA |
State: | PA |
Postal Code: | 186250489 |
Phone Number: | 5703783047 |
Fax Number: | 5703783418 |
NPI Enumeration Date: | 03/29/2012 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | SP001205K |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |