Provider Demographics
NPI:1740760909
Name:MURDIE, DOROTHY YVONNE (RNFA)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:YVONNE
Last Name:MURDIE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 W CASTLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5222
Mailing Address - Country:US
Mailing Address - Phone:713-264-2345
Mailing Address - Fax:
Practice Address - Street 1:1306 W CASTLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5222
Practice Address - Country:US
Practice Address - Phone:713-264-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX725198163W00000X, 163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse