Provider Demographics
NPI:1518225341
Name:MURRAY, CHARLES LYNWOOD JR (APRN-CNP, RN)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:LYNWOOD
Last Name:MURRAY
Suffix:JR
Gender:M
Credentials:APRN-CNP, RN
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Mailing Address - Street 1:200 MESSIMER DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-3627
Mailing Address - Country:US
Mailing Address - Phone:220-564-4888
Mailing Address - Fax:220-564-4889
Practice Address - Street 1:200 MESSIMER DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-3627
Practice Address - Country:US
Practice Address - Phone:220-564-4888
Practice Address - Fax:220-564-4889
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2023-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034954363LP0808X
OHRN.419576163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health