Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | NPP37107 | RI |
NPI | 1043428519 |
---|---|
Provider Name | Ms. Mary-Alice Murray |
First Address | Barrington, RI 02806-3501 |
Second Address | Warwick, RI 02886 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/07/2007 |