Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 17262-NP | OH |
NPI | 1093192668 |
---|---|
Provider Name | Brenda Murchison |
First Address | Clinton, OH 44216-9557 |
Second Address | Clinton, OH 44216-9557 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2015 |
Last Update Date | 02/05/2015 |