Provider Demographics
NPI:1528024262
Name:MURRAY, DONNA B (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:B
Last Name:MURRAY
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3319 S STATE ROAD 7 STE 106
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8099
Mailing Address - Country:US
Mailing Address - Phone:561-323-7979
Mailing Address - Fax:561-323-7977
Practice Address - Street 1:3319 S STATE ROAD 7 STE 106
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8099
Practice Address - Country:US
Practice Address - Phone:561-323-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2159552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306667300Medicaid
FLQ31248Medicare UPIN
FLU3975ZMedicare ID - Type Unspecified