Provider Demographics
NPI:1760849962
Name:MURRAY, MONICA (LPN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 CATSKILL DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3713
Mailing Address - Country:US
Mailing Address - Phone:216-280-7783
Mailing Address - Fax:
Practice Address - Street 1:1065 CATSKILL DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3713
Practice Address - Country:US
Practice Address - Phone:216-280-7783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-106186164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse