Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP 60118441 | WA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | NPF95000688 | CA |
NPI | 1003061508 |
---|---|
Provider Name | Angie D Murkins |
First Address | Palo Alto, CA 94303-3341 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 22/07/2014 |