Provider Demographics
NPI:1568750677
Name:DUPREE-MURRAIN, MICHELE D (RN,MSN)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:D
Last Name:DUPREE-MURRAIN
Suffix:
Gender:F
Credentials:RN,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44466
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48244-0466
Mailing Address - Country:US
Mailing Address - Phone:313-729-7040
Mailing Address - Fax:313-865-1937
Practice Address - Street 1:1715 CHICAGO BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48206-1777
Practice Address - Country:US
Practice Address - Phone:313-729-7040
Practice Address - Fax:313-865-1937
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704172686163W00000X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator