Provider Demographics
NPI:1912944513
Name:MURRAY, LAURA WOODRUFF (FNP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:WOODRUFF
Last Name:MURRAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:K
Other - Last Name:WOODRUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3320 WAKE FOREST RD
Mailing Address - Street 2:STE 310
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7300
Mailing Address - Country:US
Mailing Address - Phone:919-855-8911
Mailing Address - Fax:919-855-9424
Practice Address - Street 1:3320 WAKE FOREST RD
Practice Address - Street 2:STE 310
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7300
Practice Address - Country:US
Practice Address - Phone:919-855-8911
Practice Address - Fax:919-855-9424
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201561363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2592263Medicare ID - Type Unspecified
Q31774Medicare UPIN