Provider Demographics
NPI:1780275909
Name:VIAUD-MURAT, JEAN L (RN, CLC)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:L
Last Name:VIAUD-MURAT
Suffix:
Gender:F
Credentials:RN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5261 OCONNOR CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-2523
Mailing Address - Country:US
Mailing Address - Phone:248-973-5111
Mailing Address - Fax:
Practice Address - Street 1:5261 OCONNOR CT
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-2523
Practice Address - Country:US
Practice Address - Phone:248-973-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-30
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704361014163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant