Provider Demographics
NPI:1396875431
Name:MURTAUGH, AUDRONE CORNELIA (RN)
Entity type:Individual
Prefix:MRS
First Name:AUDRONE
Middle Name:CORNELIA
Last Name:MURTAUGH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6314 CUMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-2445
Mailing Address - Country:US
Mailing Address - Phone:440-255-4493
Mailing Address - Fax:
Practice Address - Street 1:7350 PALISADES PKWY
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5302
Practice Address - Country:US
Practice Address - Phone:440-918-1000
Practice Address - Fax:440-918-1029
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN222547163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse