Provider Demographics
NPI:1821689167
Name:MURRAY, PATRYCE DANAE (RN)
Entity Type:Individual
Prefix:
First Name:PATRYCE
Middle Name:DANAE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PATRYCE
Other - Middle Name:DANAE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:8471 ENTERPRISE WAY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-1317
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2813 RIO SECO DR
Practice Address - Street 2:
Practice Address - City:BAY POINT
Practice Address - State:CA
Practice Address - Zip Code:94565-7768
Practice Address - Country:US
Practice Address - Phone:559-779-9258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95160335163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management