Provider Demographics
NPI:1932700937
Name:MURREY, CAROLINE V (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:V
Last Name:MURREY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 RATCLIFF LN
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-8662
Mailing Address - Country:US
Mailing Address - Phone:440-390-8040
Mailing Address - Fax:
Practice Address - Street 1:109 RATCLIFF LN
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-8662
Practice Address - Country:US
Practice Address - Phone:440-390-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0027779363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily