Provider Demographics
NPI:1225312069
Name:MCMURTRY, NORMA (RN)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:
Last Name:MCMURTRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57533 MOCCASIN TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:PRAGUE
Mailing Address - State:OK
Mailing Address - Zip Code:74864-1143
Mailing Address - Country:US
Mailing Address - Phone:405-567-0054
Mailing Address - Fax:
Practice Address - Street 1:57533 MOCCASIN TRAIL RD
Practice Address - Street 2:
Practice Address - City:PRAGUE
Practice Address - State:OK
Practice Address - Zip Code:74864-1143
Practice Address - Country:US
Practice Address - Phone:405-567-0054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR21234163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse