Provider Demographics
NPI:1285666545
Name:MURRAY, ELAINE (RN CNP)
Entity Type:Individual
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First Name:ELAINE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN CNP
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Mailing Address - Street 1:2828 CHICAGO AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1544
Mailing Address - Country:US
Mailing Address - Phone:612-863-5390
Mailing Address - Fax:612-863-2697
Practice Address - Street 1:991 SIBLEY MEMORIAL HWY
Practice Address - Street 2:#100
Practice Address - City:LILYDALE
Practice Address - State:MN
Practice Address - Zip Code:55118
Practice Address - Country:US
Practice Address - Phone:651-379-3110
Practice Address - Fax:651-379-3111
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2009-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNR0457569207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0704393OtherMEDICA
MN43183OtherHEALTH PARTNERS
MN2349339OtherAMERICAS PPO
MN376G4MUOtherBLUE CROSS
MN33348 1025463OtherPREFERRED ONE