Provider Demographics
NPI:1073770772
Name:MCMURRAY, ERIN E (NP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-0129
Mailing Address - Country:US
Mailing Address - Phone:317-468-6270
Mailing Address - Fax:317-468-6268
Practice Address - Street 1:300 E BOYD AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-2845
Practice Address - Country:US
Practice Address - Phone:317-467-4500
Practice Address - Fax:317-477-6321
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002636A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000645455OtherANTHEM PIN#
IN200899560Medicaid
200311740E, K, J, AOtherMEDICAID GRP#/LOCATIONS
200311740E, K, J, AOtherMEDICAID GRP#/LOCATIONS
000000645455OtherANTHEM PIN#