Provider Demographics
NPI:1124363148
Name:MURRAY, ASHLEY WHITE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:WHITE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:CLAIRE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:3219 CLOAR CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-3405
Mailing Address - Country:US
Mailing Address - Phone:662-299-1818
Mailing Address - Fax:
Practice Address - Street 1:1900 EXETER RD STE 210
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2954
Practice Address - Country:US
Practice Address - Phone:901-818-2183
Practice Address - Fax:901-682-9522
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-02
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17313367500000X
TN178202163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN12523332Medicaid
TN1124363148OtherCHAMPUS/TRICARE
TN4342782OtherBLUE CROSS OF TN
TN103I430511Medicare PIN