Provider Demographics
NPI:1346695806
Name:MURRELL, LATOYA NICOLE
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:NICOLE
Last Name:MURRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3167 N IROQUOIS AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74106-1909
Mailing Address - Country:US
Mailing Address - Phone:918-520-1666
Mailing Address - Fax:
Practice Address - Street 1:3167 N IROQUOIS AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106-1909
Practice Address - Country:US
Practice Address - Phone:918-520-1666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator