Provider Demographics
NPI:1750376687
Name:MURNEN, AMY DENISE (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:DENISE
Last Name:MURNEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 COSHOCTON
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050
Mailing Address - Country:US
Mailing Address - Phone:740-393-6585
Mailing Address - Fax:
Practice Address - Street 1:1451 YAUGER
Practice Address - Street 2:STE 1E
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050
Practice Address - Country:US
Practice Address - Phone:740-397-2244
Practice Address - Fax:740-397-2993
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069571207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0103991OtherUNITED HEALTHCARE
OH7555048OtherAETNA
OH194169Medicaid
OH000000121813OtherANTHEM B/C B/S
OH0103991OtherUNITED HEALTHCARE
OHG55230Medicare UPIN