Provider Demographics
NPI:1033005350
Name:MURDOCK, TAMARA R,J
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:R,J
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NESTOR AVE # OH44314
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-1408
Mailing Address - Country:US
Mailing Address - Phone:234-303-6808
Mailing Address - Fax:234-303-6808
Practice Address - Street 1:1201 NESTOR AVE # OH44314
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-1408
Practice Address - Country:US
Practice Address - Phone:234-303-6808
Practice Address - Fax:234-303-6808
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant