Provider Demographics
NPI:1538655717
Name:MUIRHEAD, RICHARD LOUIS II (NP)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LOUIS
Last Name:MUIRHEAD
Suffix:II
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 GRAYHAWK DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-4004
Mailing Address - Country:US
Mailing Address - Phone:601-941-8144
Mailing Address - Fax:
Practice Address - Street 1:117 GRAYHAWK DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-4004
Practice Address - Country:US
Practice Address - Phone:601-941-8144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902749363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care