Provider Demographics
NPI:1477814705
Name:MURRAY, MARIANNA E
Entity Type:Individual
Prefix:
First Name:MARIANNA
Middle Name:E
Last Name:MURRAY
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 1:1650 FULLER ST NW
Mailing Address - Street 2:APT # 33
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5642
Mailing Address - Country:US
Mailing Address - Phone:202-629-3693
Mailing Address - Fax:
Practice Address - Street 1:1650 FULLER ST NW
Practice Address - Street 2:APT # 33
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5642
Practice Address - Country:US
Practice Address - Phone:202-629-3693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide