Provider Demographics
NPI:1619734175
Name:MURRAY, EMILIE LILLIN MARGUENTE (FNP)
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:LILLIN MARGUENTE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 N 860 W
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-8606
Mailing Address - Country:US
Mailing Address - Phone:385-214-0590
Mailing Address - Fax:
Practice Address - Street 1:209 HEALTH PARK DR
Practice Address - Street 2:
Practice Address - City:LIBBY
Practice Address - State:MT
Practice Address - Zip Code:59923-2001
Practice Address - Country:US
Practice Address - Phone:406-283-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-222667363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily