Provider Demographics
NPI:1356139455
Name:MCMURTRIE, ELIZABETH LYNNE (APRN)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:LYNNE
Last Name:MCMURTRIE
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3441 JUBILEE DR
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-8666
Mailing Address - Country:US
Mailing Address - Phone:910-545-7643
Mailing Address - Fax:
Practice Address - Street 1:3441 JUBILEE DR
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-8666
Practice Address - Country:US
Practice Address - Phone:910-545-7643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11038945363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health