Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP 9243658 | FL |
NPI | 1013205079 |
---|---|
Provider Name | Miss Shenee Tisa-Gay Murray |
First Address | Miami, FL 33136 |
Second Address | Miami, FL 33136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2011 |
Last Update Date | 21/10/2015 |