Provider Demographics
NPI:1043428519
Name:MURRAY, MARY-ALICE (NNP)
Entity Type:Individual
Prefix:MS
First Name:MARY-ALICE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SULLIVAN TER
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3501
Mailing Address - Country:US
Mailing Address - Phone:401-247-2529
Mailing Address - Fax:
Practice Address - Street 1:KENT HOSPITAL
Practice Address - Street 2:455 TOLL GATE RD
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-737-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37107363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal