Provider Demographics
NPI:1003416256
Name:JURASEVICH, MURIEL P (CRNP)
Entity Type:Individual
Prefix:
First Name:MURIEL
Middle Name:P
Last Name:JURASEVICH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MURIEL
Other - Middle Name:PEPITO
Other - Last Name:MONSALUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 W OSTEND ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-3710
Mailing Address - Country:US
Mailing Address - Phone:352-327-2708
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-3710
Practice Address - Country:US
Practice Address - Phone:302-733-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR227583363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care