Provider Demographics
NPI:1023801347
Name:MURAGE, ELIZABETH M (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:MURAGE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 SW GOOSEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4138
Mailing Address - Country:US
Mailing Address - Phone:816-616-6185
Mailing Address - Fax:
Practice Address - Street 1:2130 SW GOOSEBERRY LN
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-4138
Practice Address - Country:US
Practice Address - Phone:816-616-6185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA70002266363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health