Provider Demographics
NPI:1841844222
Name:MURRAY, AMARIS PATRICE (CRNP, FNP-C)
Entity type:Individual
Prefix:
First Name:AMARIS
Middle Name:PATRICE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 BRANCHLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-2056
Mailing Address - Country:US
Mailing Address - Phone:443-683-6209
Mailing Address - Fax:
Practice Address - Street 1:2300 GARRISON BLVD STE 100A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2308
Practice Address - Country:US
Practice Address - Phone:443-762-5343
Practice Address - Fax:833-258-3941
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-24
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR205621363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD614115300Medicaid