Provider Demographics
NPI:1255308144
Name:EARLE-MURRAY, CARLYN E (FNP)
Entity Type:Individual
Prefix:
First Name:CARLYN
Middle Name:E
Last Name:EARLE-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 1:400 EAST MAIN STREET
Mailing Address - Street 2:7TH FL NORTHERN WESTCHESTER HOSPITAL
Mailing Address - City:MT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549
Mailing Address - Country:US
Mailing Address - Phone:914-666-1200
Mailing Address - Fax:914-666-1517
Practice Address - Street 1:400 EAST MAIN ST
Practice Address - Street 2:NORTHERN WESTCHESTER HOSPITAL
Practice Address - City:MT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-666-1200
Practice Address - Fax:914-666-1517
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1268G1OtherBLUE CROSS BLUE SHIELD
XC1979OtherHEALTHNET
1268G1OtherEMPIRE BCBS
1268G1OtherEMPIRE BCBS
WEU121Medicare ID - Type UnspecifiedGROUP NUMBER
XC1979OtherHEALTHNET
Q61887Medicare UPIN