Provider Demographics
NPI:1801271309
Name:MURTAGH, DOROTHY M (ARNP)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:M
Last Name:MURTAGH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 ANCHORAGE RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5755
Mailing Address - Country:US
Mailing Address - Phone:813-335-2223
Mailing Address - Fax:
Practice Address - Street 1:935 ANCHORAGE RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5755
Practice Address - Country:US
Practice Address - Phone:813-335-2223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-25
Last Update Date:2015-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1044142163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse