Provider Demographics
NPI:1093442287
Name:MURRAY, BRIENN (FNP)
Entity Type:Individual
Prefix:
First Name:BRIENN
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 S CROSSWINDS DR UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CUDAHY
Mailing Address - State:WI
Mailing Address - Zip Code:53110-3418
Mailing Address - Country:US
Mailing Address - Phone:414-350-9528
Mailing Address - Fax:
Practice Address - Street 1:6010 S CROSSWINDS DR UNIT 3
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-3418
Practice Address - Country:US
Practice Address - Phone:414-350-9528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7749-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily