Provider Demographics
NPI:1396836896
Name:MURRAY, SHARON ROSE (RN-C,BSN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ROSE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN-C,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4103 NORTHWOOD DR
Mailing Address - Street 2:APT#1
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-3061
Mailing Address - Country:US
Mailing Address - Phone:907-245-0235
Mailing Address - Fax:
Practice Address - Street 1:610 E 5TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-2731
Practice Address - Country:US
Practice Address - Phone:907-274-0352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK18707163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health