Provider Demographics
NPI:1821526807
Name:MURRY, ROLONDA (MHPP)
Entity Type:Individual
Prefix:
First Name:ROLONDA
Middle Name:
Last Name:MURRY
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:STUTTGART
Mailing Address - State:AR
Mailing Address - Zip Code:72160-4348
Mailing Address - Country:US
Mailing Address - Phone:870-673-9370
Mailing Address - Fax:870-672-7010
Practice Address - Street 1:123 E 3RD ST
Practice Address - Street 2:
Practice Address - City:STUTTGART
Practice Address - State:AR
Practice Address - Zip Code:72160-4348
Practice Address - Country:US
Practice Address - Phone:870-673-9370
Practice Address - Fax:870-672-7010
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator