Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 15421 | TN |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | APN0000015421 | TN |
NPI | 1114222767 |
---|---|
Provider Name | Allison Cate Murray |
First Address | Sacramento, CA 95817-2201 |
Second Address | Sacramento, CA 95817-2201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2011 |
Last Update Date | 17/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103I505470 | MEDICARE PTAN (01) |